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1093269011
TYLER LAWRENCE
OMAHA, NE
NPI
1093269011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 10862)
Enumeration Date
2016-08-08
Last Update Date
2016-08-08
Business Address
-- TYLER LAWRENCE
139 S 40TH ST
OMAHA, NE 68131-3003
Phone number: 402-595-3939
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Mailing Address
-- TYLER LAWRENCE
988102 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-8102
Phone number: 402-559-6195
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