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1174965792
IVORY LAINE WELBOURN
OMAHA, NE
NPI
1174965792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NE 1125)
Enumeration Date
2013-07-24
Last Update Date
2013-07-24
Business Address
-- IVORY LAINE WELBOURN LIMHP, MSW
7101 NEWPORT AVE
OMAHA, NE 68152-2164
Phone number: 402-572-2916
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Mailing Address
-- IVORY LAINE WELBOURN LIMHP, MSW
7101 NEWPORT AVE
OMAHA, NE 68152-2164
Phone number: 402-572-2916
Copy
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