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Individual
MS. JACQUELINE ANDEREGG
Active
Individual
MS. JACQUELINE ANDEREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
98 LMPH 121 MSW
NE
1041C0700X
Clinical Social Worker
Primary
98 LMHP 121 LCSW
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82060
BLUE CROSS
NE
Enumeration date
12/11/2006
Last updated
06/16/2010
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