SUSAN D WALLIS

OMAHA, NE
NPI1740357813
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: NE  11317)
Additional Taxonomies104100000X Social Worker
(Licence: NE  7196)
Enumeration Date2006-11-30
Last Update Date2018-10-10
Business Address
SUSAN D WALLIS PLMHP, PCMSW, MSW
2101 S 42ND ST
OMAHA, NE 68105-2909
Phone number: 402-553-3000
Mailing Address
SUSAN D WALLIS PLMHP, PCMSW, MSW
5646 OHIO ST
OMAHA, NE 68104-4138
Phone number: 408-806-8156