| Candace Mizaur Llc | |
|
9819 S 168th Ave Ste 6f Omaha NE 68136-1154 | |
| (402) 807-0228 | |
| Not Available |
| Full Name | Candace Mizaur Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9819 S 168th Ave Ste 6f, Omaha, Nebraska |
| Authorized Official Name and Position | Candace Mizaur (OWNER) |
| Authorized Official Contact | 4028070228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candace Mizaur Llc 9819 S 168th Ave Ste 6f Omaha NE 68136-1154 Ph: (402) 807-0228 | Candace Mizaur Llc 9819 S 168th Ave Ste 6f Omaha NE 68136-1154 Ph: (402) 807-0228 |
| NPI Number | 1538949508 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538949508 | NPI | - | NPPES |
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