Individual
VERA LYNN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PLMHP
Contact information
Practice address
1441 N 11TH ST, OMAHA, NE 68102-4202
(402) 965-1369
Mailing address
1441 N 11TH ST, OMAHA, NE 68102-4202
(402) 965-1369
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11234
NE
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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