Individual
JENNIFER STEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5606 S 147TH ST, OMAHA, NE 68137-2648
(308) 379-6085
Mailing address
5606 S 147TH ST, OMAHA, NE 68137-2648
(308) 379-6085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4275119988
NDE STAFF ID
NE
Enumeration date
11/03/2015
Last updated
11/03/2015
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