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Individual

MRS. JENNIFER J DAGGETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LIMHP, CMSW

Contact information

Practice address
11840 NICHOLAS ST, SUITE 200, OMAHA, NE 68154-4475
(402) 289-8990
Mailing address
11840 NICHOLAS ST, SUITE 200, OMAHA, NE 68154-4475
(402) 679-3831

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
05786
IA
1041C0700X
Clinical Social Worker
Primary
896
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025421700
NE
Enumeration date
08/01/2006
Last updated
05/16/2024
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