Individual
GERALDINE LEE MCCLENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5606 S 147TH ST, OMAHA, NE 68137-2648
(402) 715-8200
Mailing address
5606 S 147TH ST, OMAHA, NE 68137-2648
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1841
NE
Other
Enumeration date
10/09/2017
Last updated
03/17/2018
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