Individual
RILEY ALICE MITAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
11404 W DODGE RD STE 300, OMAHA, NE 68154-2511
(402) 898-1113
(402) 819-5588
Mailing address
11404 W DODGE RD STE 300, OMAHA, NE 68154-2511
(402) 898-1113
(402) 819-5588
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7759
NE
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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