Individual
MS. HEATHER M ELLER-GILMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10630 N 136TH ST, WAVERLY, NE 68462
(402) 310-3171
Mailing address
10630 N 136TH ST, WAVERLY, NE 68462
(402) 310-3171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4000
NE
1041C0700X
Clinical Social Worker
1428
NE
Other
Enumeration date
10/20/2011
Last updated
11/15/2012
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