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Individual

MICHELLE RENEE HRUSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LIMHP, LADC

Contact information

Practice address
9239 W CENTER RD, OMAHA, NE 68124-1933
(402) 354-8000
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-2100

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
763
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
763
LIMHP LICENSE
NE
01
800
LADC LICENSE
NE
Enumeration date
04/09/2010
Last updated
10/21/2010
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