Individual
MALLORY GAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP, PCMSW
Contact information
Practice address
11717 BURT ST STE 203, OMAHA, NE 68154-1500
(402) 302-2775
Mailing address
11717 BURT ST STE 204, OMAHA, NE 68154-1500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13265
NE
1041C0700X
Clinical Social Worker
Primary
7812
NE
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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