Individual
MRS. KARA JAN VERSAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19657 PINE ST, OMAHA, NE 68130-2998
(402) 657-5077
Mailing address
19657 PINE ST, OMAHA, NE 68130-2998
(402) 657-5077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
002212
IA
235Z00000X
Speech-Language Pathologist
Primary
1454
NE
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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