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Individual

PAIGE TUTTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LIMHP, MSW

Contact information

Practice address
1000 N 90TH ST STE 203, OMAHA, NE 68114-2766
(402) 955-3905
Mailing address
1000 N 90TH ST STE 203, OMAHA, NE 68114-2766
(402) 955-3905

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2564
NE
1041C0700X
Clinical Social Worker
1905
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11411
NE
Enumeration date
02/15/2018
Last updated
10/04/2023
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