Individual
WILLOW KOVANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 AMERICAN PKWY, PAPILLION, NE 68046-6270
(402) 339-2544
Mailing address
7480 DODSON PLZ APT 204, RALSTON, NE 68127-4291
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11127
NE
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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