Individual
JESSICA REFFALT-HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4110 AVENUE D, SCOTTSBLUFF, NE 69361-4650
(308) 635-3171
Mailing address
4110 AVENUE D, SCOTTSBLUFF, NE 69361-4650
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47051963380
—
NE
Enumeration date
04/19/2013
Last updated
04/22/2013
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