Individual
SHANNON JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 S 42ND ST, OMAHA, NE 68105-2909
(402) 553-3000
Mailing address
3517 S 88TH ST, OMAHA, NE 68124-3925
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13402
NE
1041C0700X
Clinical Social Worker
7856
NE
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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