Individual
JESSICA EDEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 E CALKINS AVE, ELM CREEK, NE 68836-7648
(308) 856-4300
Mailing address
230 E CALKINS AVE, ELM CREEK, NE 68836-7648
(308) 856-4300
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
20200010758
NE
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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