Individual
GAIL DILLEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 S 24TH ST, #100, OMAHA, NE 68102-1213
(402) 342-7007
Mailing address
124 S 24TH ST, #230, OMAHA, NE 68102-1226
(402) 978-5673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1965
NE
1041C0700X
Clinical Social Worker
Primary
927
NE
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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