ELISA LYNN FORDYCE

OMAHA, NE
NPI1750690640
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  9164)
Enumeration Date2010-09-27
Last Update Date2010-09-27
Business Address
Ms. ELISA LYNN FORDYCE PLMHP
5115 F ST
OMAHA, NE 68117-2807
Phone number: 402-397-9866
Mailing Address
Ms. ELISA LYNN FORDYCE PLMHP
17851 MARGO ST
OMAHA, NE 68136-2093
Phone number: 402-990-5796
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