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Individual

SAMANTHA JEAN MINNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LIMHP

Contact information

Practice address
908 N HOWARD AVE STE 102, GRAND ISLAND, NE 68803-3529
(308) 850-2258
Mailing address
2621 W STOLLEY PARK RD, GRAND ISLAND, NE 68801-6862

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4761
NE

Other

Enumeration date
06/01/2017
Last updated
04/21/2018
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