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Organization

TED KAWA CHILD & FAMILY COUNSELING PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TED KAWA LCSW (PRESIDENT)
(308) 389-6160
Entity
Organization

Contact information

Practice address
1811 W 2ND STREET, SUITE 435, GRAND ISLAND, NE 68803-5413
(308) 389-6160
(308) 381-0658
Mailing address
1811 W 2ND STREET, SUITE 435, GRAND ISLAND, NE 68803-5413
(308) 389-6160
(308) 381-0658

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025283400
NE
Enumeration date
09/19/2006
Last updated
07/08/2009
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