Individual
ERIC TYLER DEPUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5606 S 147TH ST, OMAHA, NE 68137-2648
(402) 715-8200
Mailing address
5606 S 147TH ST, OMAHA, NE 68137-2648
(402) 715-8200
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
10852
NE
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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