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1235856477
MATTHEW BRYAN FENN
OMAHA, NE
NPI
1235856477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 13212)
Enumeration Date
2022-10-27
Last Update Date
2023-02-17
Business Address
MATTHEW BRYAN FENN
415 S 25TH AVE
OMAHA, NE 68131-3630
Phone number: 402-717-5300
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Mailing Address
MATTHEW BRYAN FENN
415 S 25TH AVE
OMAHA, NE 68131-3630
Phone number: 402-516-4775
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