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Individual

TAMARA SUE DWYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LIMHP, CMSW, LMSW

Contact information

Practice address
9308 POLK ST, OMAHA, NE 68127-4451
(402) 208-0621
Mailing address
9308 POLK ST, OMAHA, NE 68127-4451
(402) 319-4559

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
095642
IA
104100000X
Social Worker
6193
NE
1041C0700X
Clinical Social Worker
2418
NE
1041C0700X
Clinical Social Worker
Primary
3821
NE

Other

Enumeration date
11/09/2021
Last updated
11/26/2024
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