Individual
TAJE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17773 OLIVE ST, OMAHA, NE 68136-2046
(402) 708-0377
(402) 708-0377
Mailing address
6818 GROVER ST STE 200, OMAHA, NE 68106-3632
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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