Individual
AMBER SHANLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTA
Contact information
Practice address
5124 23 ST, COLUMBUS, NE 68601
(402) 564-9888
(402) 564-9899
Mailing address
5124 23 ST, COLUMBUS, NE 68601
(402) 564-9888
(402) 564-9899
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025268300
—
NE
Enumeration date
06/13/2008
Last updated
06/13/2008
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