Individual
MARCO GULLICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4101 WOOLWORTH AVE # 116A1, OMAHA, NE 68105-1850
(402) 995-5864
Mailing address
4101 WOOLWORTH AVE # 116A1, OMAHA, NE 68105-1850
(402) 995-5864
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
729
NE
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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