Stephanie Detamore
Stephanie Detamore is a Community/Behavioral Health Agency in Grand Island, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1811 W 2nd St Ste 450Grand Island, NE 68803-5473
Phone: (308) 379-8619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1295489557 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 7, 2022 |
| Last updated in NPPES | February 7, 2022 |
| Certification date | February 7, 2022 |
| Mailing address | 1811 W 2nd St Ste 450, Grand Island, NE 68803-5473 |
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