Individual
LISA MARIE DUNLAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11605 MIRACLE HILLS DR STE 300, OMAHA, NE 68154-4467
(402) 238-1431
Mailing address
11605 MIRACLE HILLS DR STE 300, OMAHA, NE 68154-4467
(402) 238-1431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7555
NE
1041C0700X
Clinical Social Worker
Primary
2283
NE
Other
Enumeration date
01/25/2021
Last updated
10/04/2023
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