Individual
LUCIOUS BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 S 174TH ST, OMAHA, NE 68118-3540
(402) 991-8093
Mailing address
809 S 174TH ST, OMAHA, NE 68118-3540
(402) 991-8093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10641
NE
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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