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Individual

MRS. AMY J SJOHOLM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHP

Contact information

Practice address
3308 W CAPITAL AVE, GRAND ISLAND, NE 68803-1333
(402) 879-5755
Mailing address
106 PARKLANE AVE, AURORA, NE 68818-1844
(402) 879-5755

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9643
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026475600
NE
Enumeration date
05/08/2012
Last updated
07/21/2016
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