| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7805 L St, Omaha, Nebraska |
| Authorized Official Name and Position | Mariama Oumaria Maman (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4026126824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14720 Kansas Ave Omaha NE 68116-4514 Ph: (402) 612-6824 | 7805 L St Omaha NE 68127-1855 Ph: (402) 612-6824 |
| NPI Number | 1043980451 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 12/28/2021 |
| Certification Date | 12/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043980451 | NPI | - | NPPES |
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