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Individual

MRS. LILLIE LYN WEATHERALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, NCC, LIMHP

Contact information

Practice address
3308 SAMSON WAY, BELLEVUE, NE 68123-3234
(402) 598-3343
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 598-3343

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2687
NE

Other

Enumeration date
11/19/2013
Last updated
04/26/2023
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