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Individual

MARIE D. DESMOINEAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LIMHP, LMHP

Contact information

Practice address
4920 SOUTH 30TH STREET, SUITE 103, OMAHA, NE 68107-1656
(402) 734-4110
(402) 991-5642
Mailing address
4920 SOUTH 30TH STREET, SUITE 103, OMAHA, NE 68107-1656
(402) 734-4110
(402) 991-5642

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1081
NE
101YM0800X
Mental Health Counselor
4192
NE

Other

Enumeration date
03/15/2011
Last updated
03/13/2013
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