Individual
MARCIA RAE PICKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1874 COUNTY ROAD 27, DECATUR, NE 68020-2126
(402) 307-0178
Mailing address
1874 COUNTY ROAD 27, DECATUR, NE 68020-2126
(402) 307-0178
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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