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Individual

PATTI W JAREO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLMHP

Contact information

Practice address
2132 S 42ND ST, OMAHA, NE 68105-2910
(402) 558-1858
(402) 558-8970
Mailing address
2132 S 42ND ST, OMAHA, NE 68105-2910
(402) 558-1858
(402) 558-8970

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8631
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47064884526
NE
Enumeration date
06/09/2008
Last updated
06/09/2008
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