Provider Information for 1730637018
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BRIANNA MCMASTER LIMHP, LCSW, PLADC
Sex: Female
NPI: 1730637018
Last Updated: 2019-12-19
Certification Date: 2019-12-19
Certification Date: 2019-12-19
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1730637018 | ||||||||
| Enumeration Date | 2016-09-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 616 W 5TH ST HASTINGS, NE 68901-5104 United States Phone: 402-463-5684 | Fax:402-463-5686 | ||||||||
| Primary Practice Address | 616 W 5TH ST HASTINGS, NE 68901-5104 United States Phone: 402-463-5684 | Fax:402-463-5686 | ||||||||
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