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Individual

ELISABETH PAULA SIMONNE DE COCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1540 S 70TH ST STE 200, LINCOLN, NE 68506-1575
(402) 318-3105
Mailing address
2136 SEWELL ST, LINCOLN, NE 68502-3848
(402) 276-2770

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/12/2020
Last updated
08/12/2020
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