Individual
MISS MALLORY STOLDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3939 N 48TH ST STE 200, LINCOLN, NE 68504-1464
(531) 225-5295
Mailing address
7630 VINE ST, LINCOLN, NE 68505-2140
(531) 400-1237
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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