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Organization
JESSICA MARIE
Active
Organization
JESSICA MARIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARTINEZ (MSW)
(402) 913-0068
Entity
Organization
Contact information
Practice address
13304 W CENTER RD STE 110, OMAHA, NE 68144-3453
(402) 913-0068
Mailing address
13304 W CENTER RD STE 110, OMAHA, NE 68144-3453
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
07/16/2022
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