Individual
MS. MARY K. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
5217 S 28TH ST, OMAHA, NE 68107-3402
(402) 715-5440
(402) 715-5452
Mailing address
5217 S 28TH ST, OMAHA, NE 68107-3402
(402) 715-5440
(402) 715-5452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9395
NE
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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