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1780099077
SHANNON MICHELLE MOTTER
OMAHA, NE
NPI
1780099077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE 1068)
Enumeration Date
2014-06-25
Last Update Date
2014-06-25
Business Address
Mrs. SHANNON MICHELLE MOTTER LADC
130 N. 39TH ST.
OMAHA, NE 68131
Phone number: 402-558-7088
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Mailing Address
Mrs. SHANNON MICHELLE MOTTER LADC
130 N 39TH ST
OMAHA, NE 68131-2307
Phone number: 402-558-7088
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