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Individual

MRS. NICOLE RENEE LARSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LIMHP, LCSW

Contact information

Practice address
13304 W CENTER RD STE 110, OMAHA, NE 68144-3453
(402) 557-0240
(402) 557-0240
Mailing address
13304 W CENTER RD STE 110, OMAHA, NE 68144-3453
(402) 577-0240
(402) 557-0240

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1064
NE
1041C0700X
Clinical Social Worker
Primary
7951
NE

Other

Enumeration date
05/30/2007
Last updated
02/12/2025
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