Provider Information for 1659541852
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BRANDY SOTO LIMHP, LISW
Sex: Female
NPI: 1659541852
Last Updated: 2021-06-29
Certification Date: 2021-06-28
Certification Date: 2021-06-28
Details
| Name | Value | ||||||||||||
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| NPI | 1659541852 | ||||||||||||
| Enumeration Date | 2008-03-04 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1024 TEKAMAH LN PAPILLION, NE 68046-6244 United States Phone: 402-350-4979 | Fax: | ||||||||||||
| Primary Practice Address | 900 S 74TH PLZ STE 400 OMAHA, NE 68114-4667 United States Phone: 402-800-2990 | Fax: | ||||||||||||
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