Individual
THEODORE SEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-5974
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1491
NE
1041C0700X
Clinical Social Worker
Primary
1420
NE
1041C0700X
Clinical Social Worker
4214
NE
Other
Enumeration date
02/19/2013
Last updated
07/01/2015
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