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Organization
BROOKE GUNDRUM STORM MS PLMHP
Active
Organization
BROOKE GUNDRUM STORM MS PLMHP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BROOKE GUNDRUM STORM PLMHP (OWNER)
(531) 242-9489
Entity
Organization
Contact information
Practice address
10730 PACIFIC ST STE 30, OMAHA, NE 68114-4761
(402) 637-8024
Mailing address
10866 NEWPORT AVE, OMAHA, NE 68164-1242
(531) 242-9489
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/02/2023
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