Individual
THERESA LASHELL ROSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11906 ARBOR ST, OMAHA, NE 68144-2938
(402) 898-8882
Mailing address
11906 ARBOR ST, OMAHA, NE 68144-2938
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8256
NE
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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