Individual
MRS. MALLORY MALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
1345 S 16TH ST, LINCOLN, NE 68502-1466
(402) 413-9832
Mailing address
1345 S 16TH ST, LINCOLN, NE 68502-1466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12478
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12478
PLMHP
NE
Enumeration date
02/11/2021
Last updated
02/11/2021
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