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1578236584
JAIDEN LEWIS
OMAHA, NE
NPI
1578236584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE P-1902)
Enumeration Date
2021-07-26
Last Update Date
2021-07-26
Business Address
JAIDEN LEWIS
10846 JOHN GALT BLVD
OMAHA, NE 68137-2306
Phone number: 402-325-1290
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Mailing Address
JAIDEN LEWIS
10846 JOHN GALT BLVD
OMAHA, NE 68137-2306
Phone number: 402-325-1290
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