| Mary P Haskins, Llc | |
|
1239 N Park Ave Fremont NE 68025-4172 | |
| (402) 727-4886 | |
| (402) 727-4146 |
| Full Name | Mary P Haskins, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1239 N Park Ave, Fremont, Nebraska |
| Authorized Official Name and Position | Mary P Haskins (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4027274886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary P Haskins, Llc 1239 N Park Ave Fremont NE 68025-4172 Ph: (402) 727-4886 | Mary P Haskins, Llc 1239 N Park Ave Fremont NE 68025-4172 Ph: (402) 727-4886 |
| NPI Number | 1558670281 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558670281 | NPI | - | NPPES |
| 10025687100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1369 (Nebraska) | Primary |
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