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1013158930
SALLY A STEPHENS
OMAHA, NE
NPI
1013158930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE P 693)
Enumeration Date
2009-03-24
Last Update Date
2009-03-24
Business Address
-- SALLY A STEPHENS
10806 PRAIRIE HILLS DR
OMAHA, NE 68144-4830
Phone number: 402-898-4135
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Mailing Address
-- SALLY A STEPHENS
3300 N 60TH ST
OMAHA, NE 68104-3402
Phone number: 402-554-0520
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