Individual
BRADY TOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCMSW, PLMHP
Contact information
Practice address
2229 J ST, LINCOLN, NE 68510-2933
(402) 436-1301
Mailing address
2401 CITY VIEW CT, LINCOLN, NE 68521-4154
(402) 641-4338
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7271
NE
1041C0700X
Clinical Social Worker
11597
NE
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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