| NPI | 1073801643 |
|---|---|
| Former Name | SARAH LYN CALLICUTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17734) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2024-01-08 |