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Individual

JESSICA E MOSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, PLCSW

Contact information

Practice address
700 PENROSE DR, LINCOLN, NE 68521-8928
(402) 436-1222
Mailing address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1000

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7054
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7054
STATE OF NE
NE
Enumeration date
01/10/2020
Last updated
01/10/2020
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