Individual
SAMUEL BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIMHP
Contact information
Practice address
2740 N CLARKSON ST, FREMONT, NE 68025-7703
(402) 721-0951
(402) 721-0804
Mailing address
1011 LEAVENWORTH ST., OMAHA, NE 68102-2933
(402) 614-4870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2230
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025851800
—
NE
01
—
2230
LIMHP LICENSE
NE
Enumeration date
04/23/2014
Last updated
12/30/2019
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