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Individual

BRIANNA TICKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5760 S 86TH DR # 2, LINCOLN, NE 68526-9247
(402) 484-0326
Mailing address
19004 SKYVIEW LN, SPRING HILL, KS 66083-7588
(308) 380-5416

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2710
NE

Other

Enumeration date
03/15/2023
Last updated
03/15/2023
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