Provider Information for 1003058389
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KATE ANDERSON lmhp
Sex: Female
NPI: 1003058389
Last Updated: 2009-04-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1003058389 | ||||||||
| Enumeration Date | 2009-04-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8922 CUMING ST OMAHA, NE 68114-2732 United States Phone: 402-926-4373 | Fax:402-926-3898 | ||||||||
| Primary Practice Address | 8922 CUMING ST OMAHA, NE 68114-2732 United States Phone: 402-926-4373 | Fax:402-926-3898 | ||||||||
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