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Individual

MIRANDA ANN ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDS

Contact information

Practice address
5876 COUNTY ROAD P43, FORT CALHOUN, NE 68023-5164
(402) 468-5533
Mailing address
5876 COUNTY ROAD P43, FORT CALHOUN, NE 68023-5164
(402) 468-5533

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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