Individual
MR. EDWARD THOMAS LICHT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4101 WOOLWORTH AVE, MH&BSD (116A), OMAHA, NE 68105-1850
(402) 346-8800
(402) 977-5667
Mailing address
1791 KENT CIR, PAPILLION, NE 68046-4118
(402) 331-5006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
994
NE
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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