MRS. Nicole Kallbacka

NPI #1942675681 in Evanston, Wyoming

Provider Information

NPI Number: 1942675681
Entity Type: Individual
Name: MRS. Nicole Kallbacka
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Enumeration Date: Dec 7, 2015
Last Updated: Mar 13, 2017

Practice Location

Address: 219 7TH ST
City: Evanston
State: Wyoming
ZIP Code: 82930-3537
Phone: (307) 789-0955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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