JACOB ISAAC SCHROEDER

OMAHA, NE
NPI1134665342
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  11099)
Enumeration Date2017-01-11
Last Update Date2017-01-11
Business Address
-- JACOB ISAAC SCHROEDER PLMHP
5847 N 90TH ST
OMAHA, NE 68134-1856
Phone number: 402-571-7148
Mailing Address
-- JACOB ISAAC SCHROEDER PLMHP
5847 N 90TH ST
OMAHA, NE 68134-1856
Phone number: 402-571-7148
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