Individual
MARLYN JO LIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 GALVIN RD N, BELLEVUE, NE 68005-4646
(402) 731-1315
Mailing address
7205 S 81ST ST, LA VISTA, NE 68128-2122
(402) 740-5450
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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