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1831230051
JANN N DANIELSON
GRAND ISLAND, NE
NPI
1831230051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NE LADC-463)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
JANN N DANIELSON L.M.H.P. AND L.A.D.C
2116 W FAIDLEY AVE
GRAND ISLAND, NE 68803-4645
Phone number: 308-398-5427
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Mailing Address
JANN N DANIELSON L.M.H.P. AND L.A.D.C
510 W KOENIG ST
GRAND ISLAND, NE 68801-6518
Phone number: 308-395-3927
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