MAT LAVERN ZOLLICOFFER

OMAHA, NE
NPI1851939565
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  P-1639)
Enumeration Date2019-12-12
Last Update Date2019-12-12
Business Address
MAT LAVERN ZOLLICOFFER
1502 N 58TH ST
OMAHA, NE 68104-4820
Phone number: 402-556-6425
Mailing Address
MAT LAVERN ZOLLICOFFER
1502 N 58TH ST
OMAHA, NE 68104-4820
Phone number: 402-556-6425
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