Individual
KIRSTEN DELAINEY JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4239 FARNAM ST STE 509, OMAHA, NE 68131-2879
(402) 551-7338
(402) 551-3072
Mailing address
4239 FARNAM ST STE 509, OMAHA, NE 68131-2879
(402) 551-7338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
088623
IA
235Z00000X
Speech-Language Pathologist
578
NE
Other
Enumeration date
08/29/2017
Last updated
02/26/2018
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