Individual
JESSICA SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2242 WRIGHT ST, BLAIR, NE 68008-1148
(402) 426-4663
Mailing address
1611 S 168TH AVE, OMAHA, NE 68130-1211
(281) 838-9227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1713
NE
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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