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1043509854
TED JOSEPH WHITE
LA VISTA, NE
NPI
1043509854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NE 3876)
Enumeration Date
2011-04-01
Last Update Date
2011-04-01
Business Address
-- TED JOSEPH WHITE LMHP
8563 S 102ND ST
LA VISTA, NE 68128-3229
Phone number: 402-651-8670
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Mailing Address
-- TED JOSEPH WHITE LMHP
1941 S 42ND ST STE 129
OMAHA, NE 68105-2938
Phone number: 402-871-9979
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