Individual
MIRIAM COMMODORE-MENSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 S 42ND ST STE 375, OMAHA, NE 68105-2958
(402) 553-3000
Mailing address
1941 S 42ND ST STE 375, OMAHA, NE 68105-2958
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11878
NE
104100000X
Social Worker
7371
NE
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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