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1912765785
SHAE FREDERICK
OMAHA, NE
NPI
1912765785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 13663)
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
SHAE FREDERICK
11204 DAVENPORT ST
OMAHA, NE 68154-2658
Phone number: 402-356-3332
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Mailing Address
SHAE FREDERICK
14306 VIRGINIA ST
OMAHA, NE 68138-3563
Phone number:
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