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Individual

MONICA MORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLMHP

Contact information

Practice address
222 SOUTH 29TH STREET, OMAHA, NE 68131
(402) 345-6555
(402) 345-0635
Mailing address
222 SOUTH 29TH STREET, OMAHA, NE 68131
(402) 345-6555
(402) 345-0635

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8099
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47037658526
NE
01
AUX98098
BLUE CROSS BLUE SHIELD
NE
Enumeration date
01/19/2007
Last updated
07/08/2007
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