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1649519737
GLENETTA R BLACK
OMAHA, NE
NPI
1649519737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 9886)
Enumeration Date
2013-02-08
Last Update Date
2013-02-08
Business Address
Ms. GLENETTA R BLACK MS, PMHP
3040 LAKE ST STE 118
OMAHA, NE 68111-3700
Phone number: 402-215-3433
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Mailing Address
Ms. GLENETTA R BLACK MS, PMHP
3040 LAKE ST STE 118
OMAHA, NE 68111-3700
Phone number: 402-215-3433
Copy
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