Individual
DALE MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 I ST, BURWELL, NE 68823-4101
(308) 346-4150
Mailing address
190 I ST, BURWELL, NE 68823-4101
(308) 346-4150
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
NE
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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