Individual
BOBIE CALICUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2055 CRAIGSHIRE RD STE 420F, SAINT LOUIS, MO 63146-4043
(816) 400-4276
(314) 887-7004
Mailing address
2055 CRAIGSHIRE RD STE 420F, SAINT LOUIS, MO 63146-4043
(816) 400-4276
(314) 887-7004
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
T208137023
MO
172V00000X
Community Health Worker
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730631508
—
MO
Enumeration date
10/27/2016
Last updated
06/24/2021
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