Individual
KATELYN PALICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1768 W CROSSWIND ST, MERIDIAN, ID 83646-6126
(480) 406-3369
Mailing address
1768 W CROSSWIND ST, MERIDIAN, ID 83646-6126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-40460
ID
1041C0700X
Clinical Social Worker
LCSW66626
CA
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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