Individual
MR. DALE RICHARD LUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
55 MDOS SGO, 2501 CAPEHART ROAD, OFFUTT A F B, NE 68113-1712
(402) 294-7411
Mailing address
16017 CEDAR CIR, OMAHA, NE 68130-1748
(402) 321-2340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/12/2005
Last updated
11/13/2024
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