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Individual

MALLORY DAWN SWANTEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PLADC, PLMHP

Contact information

Practice address
4508 38TH ST, STE 165, COLUMBUS, NE 68601-2131
(402) 788-4187
Mailing address
PO BOX 1800, COLUMBUS, NE 68602-1800
(402) 564-7118

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1510
NE
101YM0800X
Mental Health Counselor
11293
NE
101YM0800X
Mental Health Counselor
Primary
2652
NE

Other

Enumeration date
07/18/2017
Last updated
12/09/2025
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