Individual
SUI MON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7879 BAUMAN AVE, OMAHA, NE 68122-1666
(402) 813-3114
Mailing address
7879 BAUMAN AVE, OMAHA, NE 68122-1666
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1041000000X
—
104100000X
Social Worker
104100000X
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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