Individual
MS. SANDRA JO BREACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
108 EAST 2ND STREET, NORTH PLATTE, NE 69101-0000
(308) 534-9271
Mailing address
2611 ANNA AVE, NORTH PLATTE, NE 69101-4495
(308) 530-5921
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1685
NE
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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