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1134770050
REBECCA VIDLAK
OMAHA, NE
NPI
1134770050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 12016)
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
REBECCA VIDLAK PLMHP
809 S 174TH ST
OMAHA, NE 68118-3540
Phone number: 402-991-8093
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Mailing Address
REBECCA VIDLAK PLMHP
4201 N ST
LINCOLN, NE 68510-1747
Phone number: 402-598-8852
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