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Individual

MISS MARY KAY WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
315 S 9TH ST, SUITE 15, LINCOLN, NE 68508-2247
(402) 477-8278
(402) 477-8284
Mailing address
315 S 9TH ST, SUITE 15, LINCOLN, NE 68508-2247
(402) 477-8278
(402) 477-8284

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
761
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5143
MIDLANDS CHOICE
NE
01
82152
BLUE CROSS BLUE SHIELD OF
NE
Enumeration date
11/01/2006
Last updated
07/08/2007
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