Individual
JESSICA MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1080 17TH ST, HENDERSON, NE 68371-8906
(402) 723-4883
(402) 723-4914
Mailing address
PO BOX 684, 1080 17TH STREET, HENDERSON, NE 68371-0684
(402) 723-4883
(402) 723-4914
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10134
NE
1041C0700X
Clinical Social Worker
6898
NE
Other
Enumeration date
01/01/2014
Last updated
10/05/2023
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