Individual
CARLY CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42ND & DEWEY ST, OMAHA, NE 68198-1023
(402) 552-6007
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5359
NE
104100000X
Social Worker
1849
NE
Other
Enumeration date
11/17/2017
Last updated
10/05/2020
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