Individual
GLENN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7197 PINE ST, OMAHA, NE 68106-2811
(402) 906-7720
Mailing address
7197 PINE ST, OMAHA, NE 68106-2811
(402) 906-7720
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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