Individual
DANIELLE STALLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
2301 O ST, STE 1, LINCOLN, NE 68510-1124
(402) 441-7940
(402) 441-8625
Mailing address
120 S 24TH ST, STE 230, OMAHA, NE 68102-1226
(877) 518-1070
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CPSS-182
NE
175T00000X
Peer Specialist
CPSS-182
NE
Other
Enumeration date
01/31/2023
Last updated
03/06/2023
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