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JESSICA MACK DEMARCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
6829 N 72ND ST, SUITE 4700, OMAHA, NE 68122-1723
(402) 572-2169
(402) 572-3479
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6255
(402) 829-8513

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
849
NE
103T00000X
Psychologist
849
NE

Other

Enumeration date
05/25/2012
Last updated
11/12/2019
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