Stephanie Detamore
NPI #1295489557 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1295489557
- Entity Type
- Individual
- Name
- Stephanie Detamore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 7, 2022
- Last Updated
- Feb 7, 2022
Practice Location
- Address
- 1811 W 2ND ST STE 450
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-5473
- Phone
- (308) 379-8619
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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