Individual
PEGDWENDE BERNADIN KABORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13545 EMILINE ST, OMAHA, NE 68138-6114
(646) 431-1535
Mailing address
13545 EMILINE ST, OMAHA, NE 68138-6114
(646) 431-1535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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