Organization
JEAN STUTO THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M STUTO LCSW (OWNER/OPERATOR)
(402) 972-6049
Entity
Organization
Contact information
Practice address
3112 N 58TH ST, OMAHA, NE 68104-3449
(402) 972-6049
Mailing address
3112 N 58TH ST, OMAHA, NE 68104-3449
(402) 972-6049
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4682
NE
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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