Individual
MELINDA GRACE MATTHIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
5115 F ST, OMAHA, NE 68117-2807
(402) 639-9577
Mailing address
5115 F ST, OMAHA, NE 68117-2807
(402) 639-9577
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
H13090262
NE
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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