SHANE CROCKETT

LINCOLN, NE
NPI1396018198
Entity TypeOrganization
Authorized ContactSHANE MAYNARD CROCKETT
Psychotherapist
402-488-1032
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: NE  834)
Enumeration Date2012-02-10
Last Update Date2012-02-10
Business Address
SHANE CROCKETT
8101 'O' STREET SUITE 214
LINCOLN, NE 68510-2647
Phone number: 402-488-1032
Mailing Address
SHANE CROCKETT
8101 'O' STREET SUITE 214
LINCOLN, NE 68510-2647
Phone number: 402-488-1032
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