Individual
MS. BARBARA K DETLEFSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP LCSW
Contact information
Practice address
10824 OLD MILL RD, STE 21, OMAHA, NE 68154-2642
(402) 330-6060
(402) 330-6108
Mailing address
10824 OLD MILL RD, STE 21, OMAHA, NE 68154-2642
(402) 330-6060
(402) 330-6108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
635
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82228
BLUE CROSS BLUE SHIELD
NE
Enumeration date
01/24/2006
Last updated
07/08/2007
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