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Individual

MINDEE ROLLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
11949 Q ST, OMAHA, NE 68137-3503
(402) 595-1326
(402) 595-1329
Mailing address
11949 Q ST, OMAHA, NE 68137-3503

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3934
NE
1041C0700X
Clinical Social Worker
Primary
1414
NE

Other

Enumeration date
08/10/2012
Last updated
08/10/2012
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