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Individual

CANDYCE ROSE BRIGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLMHP

Contact information

Practice address
13603 FLANAGAN BLVD, BOYS TOWN, NE 68010-7501
(402) 498-3358
(402) 498-3375
Mailing address
13603 FLANAGAN BLVD, BOYS TOWN, NE 68010-7501
(402) 498-3358
(402) 498-3375

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9459
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
470376606-31
NE
Enumeration date
08/04/2011
Last updated
08/04/2011
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