# HANNAH MIRMIRAN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669801908
- **Authorized official:** MRS. HANNAH GRACE MIRMIRAN LICSW (OWNER)
- **Authorized official phone:** (402) 595-8368

## Contact information

- **Practice address:** 6901 DODGE ST, SUITE 101, OMAHA, NE 68132-2759
- **Practice address phone:** (402) 595-8368
- **Practice address fax:** (402) 939-0059
- **Mailing address:** 6901 DODGE ST, SUITE 101, OMAHA, NE 68132-2759
- **Mailing address phone:** (402) 595-8368
- **Mailing address fax:** (402) 939-0059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1169 | NE | Yes |

## Other

- **Enumeration date:** 11/07/2013
- **Last updated:** 11/07/2013