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Individual

MR. MICKY ALLAN STAGEMEYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LIMHP

Contact information

Practice address
2802 30TH AVE, KEARNEY, NE 68845-4035
(308) 865-5313
Mailing address
2802 30TH AVE, KEARNEY, NE 68845-4035
(308) 865-5313

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2093
NE

Other

Enumeration date
03/04/2024
Last updated
03/04/2024
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