Individual
MCKENZY JEAN EWOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14301 FNB PKWY STE 100, OMAHA, NE 68154-7200
(402) 807-7447
Mailing address
1119 PLEASANT VIEW DR, GRAND ISLAND, NE 68801-8080
(402) 224-0746
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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