Susan Lamarr Mixan

NPI #1033916937 in Ralston, Nebraska

Provider Information

NPI Number
1033916937
Entity Type
Individual
Name
Susan Lamarr Mixan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Feb 27, 2025
Last Updated
Feb 27, 2025

Practice Location

Address
5720 S 77TH ST
ZIP Code
68127-4202
Phone
(531) 200-0563

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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