Individual
MRS. MARY IRENE ROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PLMHP
Contact information
Practice address
11071 W MAPLE RD, OMAHA, NE 68164-2604
(402) 932-8884
(402) 932-8885
Mailing address
PO BOX 75, BLAIR, NE 68008-0075
(402) 427-3815
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12765
NE
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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