Individual
MS. DENISE LEA TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
5625 POPPLETON AVE, OMAHA, NE 68106
(402) 614-5577
(402) 614-5577
Mailing address
5625 POPPLETON AVE, OMAHA, NE 68106
(402) 614-5577
(402) 614-5577
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
699
NE
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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