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1265930978
BRANDI KORTH
OMAHA, NE
NPI
1265930978
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Entity Type
Organization
Authorized Contact
BRANDI DEAN KORTH
Owner
402-217-4837
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 5047)
Enumeration Date
2018-01-28
Last Update Date
2018-01-28
Business Address
BRANDI KORTH
2547 N 48TH AVE
OMAHA, NE 68104-4401
Phone number: 402-217-4837
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Mailing Address
BRANDI KORTH
9374 N ST
OMAHA, NE 68127-2307
Phone number:
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