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Individual

JESSICA LYNN WATCHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLMHP, PCMSW

Contact information

Practice address
152 E 6TH ST, FREMONT, NE 68025-5092
(402) 720-1742
Mailing address
1159 N BEECH ST, WAHOO, NE 68066-1326
(402) 669-2043

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14020
NE
1041C0700X
Clinical Social Worker
8062
NE

Other

Enumeration date
08/16/2024
Last updated
08/16/2024
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