Individual
MAUREEN ANNE DERYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 PINE LAKE RD STE 200, LINCOLN, NE 68512-3631
(531) 289-1005
Mailing address
2001 PINE LAKE RD STE 200, LINCOLN, NE 68512-3631
(531) 289-1005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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