Individual
MICHELLE L MAUSOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 CUMING ST, OMAHA, NE 68131-1210
(248) 404-7225
Mailing address
3825 CUMING ST, OMAHA, NE 68131-1210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8947
NE
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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