Individual
JOYJOY SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11414 W CENTER RD STE 300, OMAHA, NE 68144-4420
(319) 400-5011
Mailing address
1204 N B ST APT 200, FAIRFIELD, IA 52556-2022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12139
NE
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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