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Individual

MS. JILL MARIE BOMBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, PMSW

Contact information

Practice address
2444 O ST, LINCOLN, NE 68510-1125
(402) 475-7666
(402) 476-9623
Mailing address
2444 O ST, LINCOLN, NE 68510-1125
(402) 475-7666
(402) 476-9623

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6662
NE
101YM0800X
Mental Health Counselor
8790
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
98402
BCBS
NE
Enumeration date
01/27/2011
Last updated
01/27/2011
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