Individual
KATELYN PANKONIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11605 W DODGE RD STE 4, OMAHA, NE 68154-2566
(402) 256-7360
Mailing address
225 N 12TH ST APT 310, OMAHA, NE 68102-1137
(402) 699-0957
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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