WILLIE R AUSTIN

OMAHA, NE
NPI1437642550
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  1207)
Enumeration Date2018-06-13
Last Update Date2018-06-13
Business Address
WILLIE R AUSTIN
1941 S 42ND ST STE 540
OMAHA, NE 68105-2986
Phone number: 402-452-0102
Mailing Address
WILLIE R AUSTIN
1941 S 42ND ST STE 540
OMAHA, NE 68105-2986
Phone number: 402-452-0102
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