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Individual

MAKENZIE RAELEE AILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PCMSW, PLMHP

Contact information

Practice address
11803 S 29TH AVE, BELLEVUE, NE 68123-1453
(319) 201-0165
Mailing address
11803 S 29TH AVE, BELLEVUE, NE 68123-1453
(319) 201-0165

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13957
NE
1041C0700X
Clinical Social Worker
8044
NE

Other

Enumeration date
07/17/2025
Last updated
07/26/2025
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