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Individual

DEANNA M. HANQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHP

Contact information

Practice address
5824 S 142ND ST STE B, OMAHA, NE 68137-2872
(402) 214-1280
Mailing address
2041 STILLWATER DR, PAPILLION, NE 68046-4587

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1935
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1935
LMHP LICENSE
NE
Enumeration date
03/27/2007
Last updated
08/06/2023
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