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Individual

MADELINE ROSE LEITER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PHARMD

Contact information

Practice address
4435 O ST STE 211, LINCOLN, NE 68510-1864
(402) 489-2218
Mailing address
815 S 38TH STREET CT APT 2, LINCOLN, NE 68510-3576
(402) 770-0750

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14327
NE
172V00000X
Community Health Worker
183500000X
Pharmacist
16560
NE

Other

Enumeration date
02/04/2020
Last updated
04/01/2025
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