Individual
PATRICIA M PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5814 S 142ND ST, OMAHA, NE 68137-2853
(402) 965-1017
Mailing address
15552 TITUS CT APT 2106, OMAHA, NE 68116-4595
(612) 310-3594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NE
Other
Enumeration date
09/16/2022
Last updated
10/12/2022
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