Individual
MUSTAPHA BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 S 42ND ST, OMAHA, NE 68105-2909
(402) 553-3000
Mailing address
2101 S 42ND ST, OMAHA, NE 68105-2909
(402) 553-3000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13241
NE
1041C0700X
Clinical Social Worker
7803
NE
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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