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Individual

ELEANORE SHRADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHP, PC

Contact information

Practice address
11304 ELM ST, OMAHA, NE 68144-4733
(402) 858-9607
(402) 973-9567
Mailing address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(402) 498-3358
(402) 498-3375

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4882
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025745300
NE
05
10026139700
NE
05
47037660631
NE
Enumeration date
09/25/2014
Last updated
09/28/2022
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