Individual
MRS. KAITLYN TAYLOR RUNYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP PCMSW
Contact information
Practice address
15705 W DODGE RD SUITE 102, OMAHA, NE 68118
(402) 575-5577
Mailing address
10899 POLK ST, OMAHA, NE 68137-4700
(402) 968-2816
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12637
NE
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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