Individual
AMBER N WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 J ST, LINCOLN, NE 68508
(402) 477-3951
Mailing address
721 J ST, LINCOLN, NE 68508
(402) 477-3951
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
P-1056
NE
Other
Enumeration date
05/12/2009
Last updated
12/11/2014
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