Individual
GARY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 S 42ND ST, OMAHA, NE 68105-2947
(402) 553-3000
Mailing address
5009 CHICAGO ST, OMAHA, NE 68132-2925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9778
NE
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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