Individual
TRICIA SOARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 S 135TH AVE, OMAHA, NE 68144-2424
(402) 651-7564
Mailing address
2721 COFFEY AVE, BELLEVUE, NE 68123-5546
(402) 651-7564
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1675
NE
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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