Individual
MR. DEAN LYNN MESSELHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
901 SAC BLVD STE 2D7, OFFUTT AFB, NE 68113-5455
(402) 294-5860
Mailing address
3211 HENERY CIR, BELLEVUE, NE 68123-2344
(402) 884-8761
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00419
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00419
SOCIAL WORK LICENSE
IA
Enumeration date
10/12/2006
Last updated
07/08/2007
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