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Individual

MAGGIE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
717 N 32ND ST, OMAHA, NE 68131-2139
(531) 299-6310
Mailing address
717 N 32ND ST, OMAHA, NE 68131-2139
(531) 299-6310

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
7642
NE
1041C0700X
Clinical Social Worker
Primary
12680
NE

Other

Enumeration date
10/10/2024
Last updated
10/10/2024
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