Individual
LIBERTY NICOLE MCCARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(108) 882-3504
(877) 935-2107
Mailing address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(108) 882-3504
(877) 935-2107
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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