Individual
AMANDA MCGARY TATRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11929 ELM ST SUITE 12A, OMAHA, NE 68144
(402) 401-4132
Mailing address
11929 ELM ST SUITE 12A, OMAHA, NE 68144
(402) 401-4132
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
082450
IA
101Y00000X
Counselor
Primary
11424
NE
Other
Enumeration date
10/25/2016
Last updated
01/29/2019
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