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1457399875
EDWARD THOMAS LICHT
OMAHA, NE
NPI
1457399875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NE 994)
Enumeration Date
2006-06-04
Last Update Date
2007-07-08
Business Address
Mr. EDWARD THOMAS LICHT LCSW
4101 WOOLWORTH AVE MH&BSD (116A)
OMAHA, NE 68105-1850
Phone number: 402-346-8800
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Mailing Address
Mr. EDWARD THOMAS LICHT LCSW
1791 KENT CIR
PAPILLION, NE 68046-4118
Phone number: 402-331-5006
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