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NPI Code Detail

MEDICARE: MS. LINDA MARIE SHADOIN-GRIER

MEDICARE:  MS. LINDA MARIE SHADOIN-GRIER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor1623NE
21041C0700XClinical Social Worker01060IA

General Provider Information

NPI Number : 1235466418
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA MARIE SHADOIN-GRIER
Provider Business Mailing Address
First Line : 13336 INDUSTRIAL RD
Second Line : SUITE 101
City : OMAHA
State : NE
Zip : 68137-1124
Country : US
Telephone Number : 402-895-4000
Fax Number : 402-895-1607
Provider Business Practice Location Address
First Line : 2010 N 88TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68134-6102
Country : US
Telephone Number : 402-496-1000
Fax Number : 402-496-4209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2009
Last Update Date : 11/10/2009

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Directions to “ MS. LINDA MARIE SHADOIN-GRIER ” Practice Location

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