Individual
ASHTON JORDAN PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
664 N 48TH ST, OMAHA, NE 68132-2469
(402) 913-0204
Mailing address
664 N 48TH ST, OMAHA, NE 68132-2469
(402) 913-0204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12448
NE
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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