Provider Information for 1659566495
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SHIRLEY SUE CAYKO LCSW
Sex: Female
NPI: 1659566495
Last Updated: 2015-01-30
Certification Date:
Certification Date:
Details
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NPI | 1659566495 | ||||||||||||||||||||
Enumeration Date | 2007-09-13 | ||||||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||||||
Status | Active | ||||||||||||||||||||
Mailing Address | PO BOX 373 ULM, MT 59485-0373 United States Phone: 406-268-1069 | Fax: | ||||||||||||||||||||
Primary Practice Address | 1601 2ND AVE N STE 400 GREAT FALLS, MT 59401-3276 United States Phone: 406-453-0088 | Fax: | ||||||||||||||||||||
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