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1134147044
SHANE CROCKETT
LINCOLN, NE
NPI
1134147044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 2966)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
-- SHANE CROCKETT LMHP
8101 O ST SUITE 214
LINCOLN, NE 68510-2646
Phone number: 402-488-1032
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Mailing Address
-- SHANE CROCKETT LMHP
8101 O ST SUITE 214
LINCOLN, NE 68510-2646
Phone number: 402-488-1032
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