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Individual

MR. KOMI TONY AMEDEDJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., LIMHP

Contact information

Practice address
268 N 115TH ST STE 1, OMAHA, NE 68154-2502
(402) 957-6694
Mailing address
1941 S 42ND ST STE 538, OMAHA, NE 68105-2945

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1823
NE
101YM0800X
Mental Health Counselor
Primary
9931
NE
3747P1801X
Personal Care Attendant

Other

Enumeration date
04/25/2013
Last updated
06/09/2025
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