Individual
MAURITA OLGUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 AVENUE F, GOTHENBURG, NE 69138-2060
(308) 537-4332
(308) 382-9255
Mailing address
910 AVENUE F, GOTHENBURG, NE 69138-2060
(308) 537-4332
(308) 382-9255
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPSS-129
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPSS-129
STATE OF NEBRASKA DIVISION OF BEHAVIORAL HEALTH
NE
Enumeration date
04/12/2022
Last updated
04/12/2022
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