Individual
DEBRA ANN TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11252 S 200TH ST, GRETNA, NE 68028-4541
(402) 659-6507
(402) 916-9654
Mailing address
404 5TH ST, NEOLA, IA 51559-3058
(402) 332-8473
(402) 916-9654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3825
NE
1041C0700X
Clinical Social Worker
Primary
1384
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1384
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES LMSW
NE
01
—
3825
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES LMHP
NE
Enumeration date
03/01/2011
Last updated
03/01/2011
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