Individual
CAROL ECKSTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12501 S 25TH ST, BELLEVUE, NE 68123-5526
(402) 293-4710
Mailing address
12501 S 25TH ST, BELLEVUE, NE 68123-5526
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2010002185
NE
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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