Individual
JACQUELINE J EGAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1327 H ST, SUITE 4, LINCOLN, NE 68508-3751
(402) 435-6111
(402) 486-1548
Mailing address
PO BOX 5165, LINCOLN, NE 68505-0165
(402) 435-6111
(402) 486-1548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CMSW77
NE
1041C0700X
Clinical Social Worker
Primary
LMHP 496
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NE82389
BCBS
—
Enumeration date
08/16/2005
Last updated
07/08/2007
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