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1245505007
CAROLE PETRIDES BAKKE
OMAHA, NE
NPI
1245505007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 9595)
Enumeration Date
2012-03-13
Last Update Date
2022-07-21
Business Address
-- CAROLE PETRIDES BAKKE MS, LIMHP, CPC
11912 ELM ST STE 120
OMAHA, NE 68144-4386
Phone number: 402-980-6648
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Mailing Address
-- CAROLE PETRIDES BAKKE MS, LIMHP, CPC
11912 ELM ST STE 120
OMAHA, NE 68144-4386
Phone number: 402-980-6648
Copy
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