Individual
JESSICA LYNN WOMACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 DODGE ST, OMAHA, NE 68132-3232
(402) 889-2915
Mailing address
4545 DODGE ST, OMAHA, NE 68132-3232
(402) 889-2915
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12922
NE
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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