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Individual

JILL R FAHNHOLZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.ED CFY-SLP

Contact information

Practice address
4239 FARNAM ST, SUITE # 509, OMAHA, NE 68131-2868
(402) 551-7338
Mailing address
4239 FARNAM ST, SUITE # 509, OMAHA, NE 68131-2868
(402) 551-7338

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
178
NE

Other

Enumeration date
09/10/2008
Last updated
09/10/2008
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