Individual
KENDRA L MOSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 F ST, OMAHA, NE 68117-2807
(402) 366-1841
Mailing address
5115 F ST, OMAHA, NE 68117-2807
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
H13109099
NE
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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