Individual
KELLY SWOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 S 42ND ST, OMAHA, NE 68105-2947
(402) 553-3000
(402) 552-7497
Mailing address
10006 IDORA ST, LA VISTA, NE 68128-4296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3174
NE
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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