Giovanni Licastro

NPI #1558229575 in Geary, Oklahoma

Provider Information

NPI Number: 1558229575
Entity Type: Individual
Name: Giovanni Licastro
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jan 10, 2026
Last Updated: Jan 10, 2026

Practice Location

Address: 23597 192ND NW
City: Geary
State: Oklahoma
ZIP Code: 73040-4306
Phone: (405) 550-9277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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