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Individual

PAIGE MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(531) 355-3358
(531) 355-3375
Mailing address
120 S 24TH ST STE 100, OMAHA, NE 68102-1205

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2838
NE
101Y00000X
Counselor
5728
NE
101Y00000X
Counselor
P-1607
NE

Other

Enumeration date
05/21/2014
Last updated
10/12/2021
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