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Individual

MRS. PHYLLIS G JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHP, CMSW

Contact information

Practice address
4102 WOOLWORTH AVE, OMAHA, NE 68105-1851
(402) 444-4755
(402) 444-3943
Mailing address
4102 WOOLWORTH AVE, OMAHA, NE 68105-1851
(402) 444-4755
(402) 444-3943

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
107
NE
104100000X
Social Worker
Primary
924
NE
104100000X
Social Worker
C002083
NC

Other

Enumeration date
05/19/2009
Last updated
05/19/2009
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