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Individual

MRS. GRACE JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CF-SLP

Contact information

Practice address
3100 N 206TH ST, ELKHORN, NE 68022-7015
(402) 289-2559
Mailing address
3100 N 206TH ST, ELKHORN, NE 68022-7015
(402) 289-2559

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
457
NE

Other

Enumeration date
02/23/2016
Last updated
02/23/2016
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