Individual
MARY COUILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 382-3660
Mailing address
615 N ELM ST, GRAND ISLAND, NE 68801-4254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11647
NE
Other
Enumeration date
01/17/2019
Last updated
12/15/2025
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