Individual
KEN MAGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 GARFIELD ST, BEATRICE, NE 68310-2357
(402) 806-0852
Mailing address
710 GARFIELD ST, BEATRICE, NE 68310-2357
(402) 806-0852
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
336
NE
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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