Individual
MARY TRAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 PINE ST, OMAHA, NE 68108-3639
(531) 299-2980
Mailing address
12626 FARNAM ST, OMAHA, NE 68154-2335
(402) 321-8978
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1060
NE
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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