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Individual

JOLYNN LIDDICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLMHP, PLADC

Contact information

Practice address
11515 S 39TH ST, SUITE 300, BELLEVUE, NE 68123-5200
(402) 342-7007
Mailing address
11515 S 39TH ST, SUITE 300, BELLEVUE, NE 68123-5200
(402) 342-7007

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10294
NE

Other

Enumeration date
09/08/2014
Last updated
11/28/2016
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