Individual
DEMETRIA LALITA SHEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
319 S 17TH ST STE 233, OMAHA, NE 68102-2040
(402) 403-1367
Mailing address
319 S 17TH ST STE 233, OMAHA, NE 68102-2040
(402) 403-1367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-2243
NE
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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