Individual
KIMBERLY GENE KRAJEWSKI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMSW PLMHP
Contact information
Practice address
6720 N 30TH ST, HEARTLAND FAMILY SERVICE, OMAHA, NE 68112
(402) 451-6244
(402) 455-1064
Mailing address
4522 N 152 STREET, OMAHA, NE 68116
(402) 214-1015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLMHP8596
NE
1041C0700X
Clinical Social Worker
PMSW6632
NE
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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