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Individual

DE'VOHN ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PLMHP

Contact information

Practice address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(531) 355-3358
(531) 355-3375
Mailing address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(531) 355-3358
(531) 355-3375

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14869
NE
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/25/2021
Last updated
04/22/2026
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