Individual
AMANDA GARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 S 42ND ST STE 129, OMAHA, NE 68105-2938
(402) 871-9979
Mailing address
21112 PARADISE DR, GRETNA, NE 68028-6967
(402) 515-0223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025769200
—
NE
05
—
10026355300
—
NE
Enumeration date
07/17/2014
Last updated
07/17/2014
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