Individual
MRS. CARLEEN RAE STICKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 S WASHINGTON ST, PAPILLION, NE 68046-2667
(402) 898-0400
Mailing address
420 S WASHINGTON ST, PAPILLION, NE 68046-2667
(402) 898-0400
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P18000000X
—
NE
Enumeration date
08/31/2022
Last updated
08/31/2022
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