Individual
THERESA JEAN ANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20650 GLENN ST, ELKHORN, NE 68022-2324
(402) 289-2579
Mailing address
20650 GLENN ST, ELKHORN, NE 68022-2324
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/22/2022
Last updated
06/14/2023
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