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Individual

BAILEY KETELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
546 AVENUE A, PLATTSMOUTH, NE 68048-1993
(712) 527-2823
Mailing address
15216 GREENE AVE, OMAHA, NE 68138-3363

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/17/2022
Last updated
08/13/2025
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