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1114351244
STEPHANIE SORUM
OMAHA, NE
NPI
1114351244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 10057)
Enumeration Date
2013-08-26
Last Update Date
2021-11-30
Business Address
STEPHANIE SORUM
11840 NICHOLAS ST STE 205
OMAHA, NE 68154-4475
Phone number: 402-819-7510
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Mailing Address
STEPHANIE SORUM
19710 L ST
OMAHA, NE 68135-3709
Phone number: 402-819-7510
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