SearchColorado1041C0700X

Mallory Nicklas, LSW

NPI 1548966831 · on the registry since 2023 · sole proprietor

Practice

Address
1705 Outter Marker Rd
Castle Rock, CO 80108
Phone
(303) 249-8888

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado