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Individual
MRS. JOLENE KOLLATH
Active
Individual
MRS. JOLENE KOLLATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LMHP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
148 (CMSW)
NE
1041C0700X
Clinical Social Worker
896 (LMHP)
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3009
MIDLANDS CHOICE
—
01
—
6235851
UNITED BEHAVIORAL HEALTH
—
01
—
84818
BCBS
NE
Enumeration date
01/22/2007
Last updated
07/08/2007
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