Individual
SELENA BREE FITZGERALD HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 UNION DR, LINCOLN, NE 68516-6652
(509) 494-9191
Mailing address
157 S HOWARD ST STE 310, SPOKANE, WA 99201-4421
(509) 494-9191
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-193832
NE
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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