Individual
KYLIE SEVERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 O ST, LINCOLN, NE 68510-1124
(402) 441-7940
Mailing address
124 S 24TH ST, STE 230, OMAHA, NE 68102-1226
(402) 978-5673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10247
NE
104100000X
Social Worker
6922
NE
Other
Enumeration date
06/05/2014
Last updated
12/17/2018
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