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SHELAGH CARRICK LM

>> Midwife >> Other Service Providers

Registrant NPI Number: 1609137181

Individual Registrant:
 SHELAGH  CARRICK LM
Gender: F
Sole Proprietor

Location and contact information for practice:
2610 ROY AVE  CRESCENT CITY, CA 95531-9101 US
Tel: 707-464-9664  Fax: --

Contact information for business:
2610 ROY AVE  CRESCENT CITY, CA 95531-9101 US
Tel: 707-464-9664  Fax: --

Registration Information:
NPI: 1609137181
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y176B00000XOther Service Providers
Midwife
CACALM111

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CALIFORNIA MEDICAL BOARDCALM111CA01




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