Individual
STEPHANIE NICOLE HENGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18414 SUMMIT DR, OMAHA, NE 68136-6457
(402) 332-5617
Mailing address
18414 SUMMIT DR, OMAHA, NE 68136-6457
(402) 332-5617
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2018011767
NE
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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