Individual
SHANNON VONDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(023) 012-9844
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 301-2984
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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