Individual
TARA HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 S 56TH ST, LINCOLN, NE 68506-2111
(402) 486-1500
Mailing address
2351 S 89TH ST, LINCOLN, NE 68520-1309
(308) 530-8948
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NE
1041S0200X
School Social Worker
11719
NE
Other
Enumeration date
03/05/2019
Last updated
08/15/2024
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