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JAMAICA COLES BA PSYCHOLOGY

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1588874143

Individual Registrant:
 JAMAICA  COLES BA PSYCHOLOGY
Gender: F
Not Sole Proprietor

Location and contact information for practice:
212 E. 8TH ST.  FREMONT, NE 68025 US
Tel: 402-721-1414  Fax: 402-753-9914

Contact information for business:
212 E. 8TH ST.  FREMONT, NE 68025 US
Tel: 402-721-1414  Fax: 402-753-9914

Registration Information:
NPI: 1588874143
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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