Individual
KALEIGH PABEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., PLMHP
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11034
NE
Other
Enumeration date
03/23/2017
Last updated
09/25/2018
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