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1851881510
ALEXA DANIELLE MATLACK
BOYS TOWN, NE
NPI
1851881510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NE 5374)
Enumeration Date
2018-05-17
Last Update Date
2019-09-09
Business Address
ALEXA DANIELLE MATLACK
13460 WALSH DR
BOYS TOWN, NE 68010-7529
Phone number: 531-355-3358
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Mailing Address
ALEXA DANIELLE MATLACK
13460 WALSH DR
BOYS TOWN, NE 68010-7529
Phone number: 531-355-3358
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