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Individual

ANNIE KATE DRIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMSW, PLMHP

Contact information

Practice address
3549 FONTENELLE BLVD, OMAHA, NE 68104-3601
(402) 451-0787
(402) 898-7750
Mailing address
4939 S 118TH ST, OMAHA, NE 68137-2213
(402) 451-0787
(402) 898-7750

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11041
NE
104100000X
Social Worker
7117
NE

Other

Enumeration date
11/14/2016
Last updated
11/14/2016
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