Provider Information for 1922121268
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ANDREA JOYCE LMHP
Sex: Female
NPI: 1922121268
Last Updated: 2010-01-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1922121268 | ||||||||||||
| Enumeration Date | 2007-04-10 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4732 S 131ST ST OMAHA, NE 68137-1822 United States Phone: 402-697-3923 | Fax:402-697-3924 | ||||||||||||
| Primary Practice Address | 4732 S 131ST ST OMAHA, NE 68137-1822 United States Phone: 402-697-3923 | Fax:402-697-3924 | ||||||||||||
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