Individual
JOSEPH VANTRIMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6720 N 30TH ST, OMAHA, NE 68112-3211
(402) 451-6244
Mailing address
2707 S 107TH AVE, OMAHA, NE 68124-2443
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11243
NE
1041C0700X
Clinical Social Worker
7172
NE
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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