Individual
MARCY WAHLGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 AVENUE M, GOTHENBURG, NE 69138-2553
(308) 529-1000
Mailing address
2611 AVENUE M, GOTHENBURG, NE 69138-2553
(308) 529-1000
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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