Individual
MRS. BRENDA L IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 S 42ND ST, #538, OMAHA, NE 68105-2939
(402) 515-4045
Mailing address
1941 S 42ND ST, #538, OMAHA, NE 68105-2939
(402) 515-4045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8591
NE
Other
Enumeration date
06/01/2008
Last updated
06/01/2008
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