Individual
ANNA CAROLYN SUPPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10601 S 72ND ST STE 103, PAPILLION, NE 68046-3408
(402) 932-2782
Mailing address
10601 S 72ND ST STE 103, PAPILLION, NE 68046-3408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3003
NE
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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