Individual
MS. GLORIA JEAN LACROSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11906 ARBOR ST, OMAHA, NE 68144-2938
(402) 740-2517
(402) 829-9340
Mailing address
11906 ARBOR ST, OMAHA, NE 68144-2938
(402) 740-2517
(402) 829-9340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2519
NE
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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