Individual
MARIAH HERGOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 CUSTER AVE STE B, NORFOLK, NE 68701-0859
(402) 230-7576
Mailing address
110 N 37TH ST STE 405, NORFOLK, NE 68701-3283
(402) 230-7576
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10893
NE
101Y00000X
Counselor
Primary
2273
NE
Other
Enumeration date
06/01/2016
Last updated
02/26/2025
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