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Individual

TRENT LUCAS LISTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHP, PMSW

Contact information

Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-5177
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-5177

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8381
NE

Other

Enumeration date
07/14/2026
Last updated
07/14/2026
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