Individual
MARCIA SHADLE-CUSIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
8102 N 47TH ST, OMAHA, NE 68152-1904
(402) 995-9158
Mailing address
8102 N 47TH ST, OMAHA, NE 68152-1904
(402) 995-9158
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3172
NE
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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