Individual
MS. SUSAN KIRCHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 S. 25TH AVE, OMAHA, NE 68131
(402) 717-5300
Mailing address
415 S. 25TH AVENUE, OMAHA, NE 68131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8321
NE
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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