Individual
MRS. STACEY MARIE MOSTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PLMHP
Contact information
Practice address
2041 E 56TH ST, KEARNEY, NE 68847-4179
(308) 236-7145
(308) 236-7150
Mailing address
2102 W 37TH ST, KEARNEY, NE 68845-2219
(402) 380-0313
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8625
NE
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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