Individual
MARY LOUISE MCCAULEY-LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 N 56TH ST, LINCOLN, NE 68504-3520
(402) 436-1924
Mailing address
330 N 56TH ST, LINCOLN, NE 68504-3520
(402) 436-1924
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2620
NE
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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