Individual
MISS TARA MARY LORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, MSW
Contact information
Practice address
20066 S 190TH ST, ADAMS, NE 68301-3023
(402) 440-2283
Mailing address
20066 S 190TH ST, ADAMS, NE 68301-3023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
911
NE
Other
Enumeration date
10/05/2011
Last updated
05/30/2013
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