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1932644051
JASON CARL CONRAD
LINCOLN, NE
NPI
1932644051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NE 075)
Enumeration Date
2016-12-28
Last Update Date
2020-01-14
Business Address
MR. JASON CARL CONRAD LADC
1124 N COTNER BLVD
LINCOLN, NE 68505-1834
Phone number: 402-435-3165
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Mailing Address
MR. JASON CARL CONRAD LADC
1124 N COTNER BLVD
LINCOLN, NE 68505-1834
Phone number: 402-435-3165
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