Individual
MIRANDA ANN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2015007689
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2282931646
NDE STAFF ID
NE
Enumeration date
09/05/2018
Last updated
09/05/2018
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