LISA M. SHOUP

COLUMBUS, NE
NPI1174832547
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NE  875)
Enumeration Date2010-10-01
Last Update Date2015-01-20
Business Address
LISA M. SHOUP LDAC
4321 41ST ST
COLUMBUS, NE 68601-9414
Phone number: 402-562-8952
Mailing Address
LISA M. SHOUP LDAC
4321 41ST ST PO BOX 1028
COLUMBUS, NE 68601-9414
Phone number: 402-562-8952
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