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Individual

MARIA SUE NIELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LIMHP

Contact information

Practice address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 934-1617
(402) 934-5228
Mailing address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 934-1617
(402) 934-5228

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1454
NE
1041C0700X
Clinical Social Worker
1396
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025339600
NE
Enumeration date
04/01/2008
Last updated
04/29/2024
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