Nicky Callicotte

NPI #1205084845 in Sandy, Oregon

Provider Information

NPI Number: 1205084845
Entity Type: Individual
Name: Nicky Callicotte
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Sep 8, 2008
Last Updated: Jun 6, 2024

Practice Location

Address: 36860 INDUSTRIAL WAY
City: Sandy
State: Oregon
ZIP Code: 97055-7371
Phone: (503) 826-0206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Social Worker	104100000X	Primary

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