KELSEY GANSEBOM

OMAHA, NE
NPI1134881543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NE  850)
Enumeration Date2021-10-13
Last Update Date2021-10-13
Business Address
KELSEY GANSEBOM
15130 DREXEL ST
OMAHA, NE 68137-3807
Phone number: 402-715-8360
Mailing Address
KELSEY GANSEBOM
15130 DREXEL ST
OMAHA, NE 68137-3807
Phone number:
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