Individual
ALEXANDRA ODILE GORUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9012 Q ST, OMAHA, NE 68127-3549
(402) 559-6408
(402) 559-5737
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
(402) 559-6408
(402) 559-5737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11018
NE
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
02/03/2015
Last updated
09/21/2017
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