Individual
MRS. ELAINE MARIE STALLBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1203 S 8TH ST, NORFOLK, NE 68701-5875
(402) 371-0220
(402) 644-4593
Mailing address
PO BOX 1392, NORFOLK, NE 68702-1392
(402) 371-0220
(402) 644-4593
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
CPSS422
NE
Other
Enumeration date
02/03/2014
Last updated
05/30/2025
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