Individual
DEIANIERA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6317 N 48TH ST, OMAHA, NE 68104-1361
(402) 594-9421
Mailing address
6317 N 48TH ST, OMAHA, NE 68104-1361
(402) 594-9421
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
1234
NE
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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