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Individual

SELA A SANBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLP

Contact information

Practice address
444 S 44TH ST, OMAHA, NE 68131-3727
(402) 559-6408
(402) 559-5737
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
(402) 559-6408
(402) 559-5737

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9300
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025287200
NE
Enumeration date
01/18/2011
Last updated
05/10/2012
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