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Individual

STEPHANIE SORUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11840 NICHOLAS ST STE 205, OMAHA, NE 68154-4475
(402) 819-7510
(402) 819-0915
Mailing address
19710 L ST, OMAHA, NE 68135-3709
(402) 819-7510
(402) 819-0915

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10057
NE

Other

Enumeration date
08/26/2013
Last updated
11/30/2021
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