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Individual

JODIE GILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
3220 S 188TH AVE, OMAHA, NE 68130-6113
(402) 289-9045
Mailing address
3220 S 188TH AVE, OMAHA, NE 68130-6113
(402) 289-9045

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2647
NE

Other

Enumeration date
09/15/2022
Last updated
09/15/2022
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