Individual
MRS. JENNIFER LYNN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 F ST, OMAHA, NE 68117-2807
(402) 397-9866
Mailing address
1118 BURLINGTON STREET, HOLDREGE, NE 68949
(402) 340-4572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1800
NE
1041C0700X
Clinical Social Worker
Primary
5245
NE
Other
Enumeration date
03/16/2012
Last updated
12/15/2025
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