Individual
JESSICA FREEBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
4110 AVENUE D, SCOTTSBLUFF, NE 69361-4650
(308) 635-3171
(308) 635-9672
Mailing address
4110 AVENUE D, SCOTTSBLUFF, NE 69361-4650
(308) 635-3171
(308) 635-9672
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47051963380
—
NE
Enumeration date
08/21/2012
Last updated
08/21/2012
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