Individual
MR. RUSSELL CHARLES GUTMANN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2235 S 46TH ST, OMAHA, NE 68106-3304
(531) 299-8414
Mailing address
1023 JONES ST APT 706, OMAHA, NE 68102-2938
(941) 587-5570
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
4804
NE
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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