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Individual

TAMMY JEFFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 N MAIN ST, ATKINSON, NE 68713-4952
(402) 925-2848
Mailing address
PO BOX 457, ATKINSON, NE 68713-0457
(402) 925-2848

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1205
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205
DEPARTMENT OF HEALTH AND HUMAN SERVICES
NE
Enumeration date
09/11/2015
Last updated
09/11/2015
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