Individual
MRS. KALAN D ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP AND PCMSW
Contact information
Practice address
2222 S 16TH ST, LINCOLN, NE 68502-3796
(402) 481-5370
Mailing address
1252 BELMONT AVE, LINCOLN, NE 68521-2240
(402) 416-6885
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6573
NE
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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