Individual
RYLIE MADISON JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 S 174TH ST, OMAHA, NE 68118-3540
(402) 991-8093
Mailing address
3030 N 60TH ST APT 416, OMAHA, NE 68104-3452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14408
NE
Other
Enumeration date
10/12/2023
Last updated
06/05/2025
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