Individual
DR. AMANDA DUFFY RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LSCW
Contact information
Practice address
7701 PACIFIC STREET, SUITE 10, OMAHA, NE 68114-5480
(402) 390-6007
Mailing address
7701 PACIFIC ST STE 323, OMAHA, NE 68114-5480
(402) 390-6007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
163
NE
1041C0700X
Clinical Social Worker
Primary
2316
NE
Other
Enumeration date
05/29/2009
Last updated
08/08/2023
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