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Organization

MICHAEL S. BECKER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL SCOTT BECKER MS, MSW, LCSW (PRESIDENT)
(402) 363-8774
Entity
Organization

Contact information

Practice address
942 N 13TH ST, GENEVA, NE 68361-1218
(402) 759-3802
(402) 759-3803
Mailing address
942 N 13TH ST, GENEVA, NE 68361-1218
(402) 759-3802
(402) 759-3803

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1551
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025862200
NE
05
10025872800
NE
Enumeration date
04/23/2011
Last updated
04/23/2011
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