Individual
STEPHANIE MARIE MAHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
514 W 11TH ST, KEARNEY, NE 68845-7336
(308) 237-4085
Mailing address
514 W 11TH ST, KEARNEY, NE 68845-7336
(308) 237-4085
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12612
NE
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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