Organization
FAMILY LIFE CLINIC
Active
Other names
Wanda L Enns
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA L ENNS PHD (OWNER)
(308) 236-5006
Entity
Organization
Contact information
Practice address
207 EAST 6TH, LEXINGTON, NE 68850
(308) 324-5623
(308) 324-5624
Mailing address
207 EAST 6TH, PO BOX 714, LEXINGTON, NE 68850
(308) 324-5623
(308) 324-5624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1071
NE
106H00000X
Marriage & Family Therapist
72
NE
Other
Enumeration date
12/01/2006
Last updated
06/18/2008
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