Individual
MAKENZIE MANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4847 SAHLER ST, OMAHA, NE 68104-5203
(402) 342-9555
Mailing address
4847 SAHLER ST, OMAHA, NE 68104-5203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13111
NE
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/02/2020
Last updated
09/02/2022
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