Individual
MRS. NAN COLLEEN SMUTKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
652 S 23RD ST, BLAIR, NE 68008-1879
(402) 426-3056
(402) 426-3052
Mailing address
652 S 23RD ST, BLAIR, NE 68008-1879
(402) 426-3056
(402) 426-3052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01536
IA
235Z00000X
Speech-Language Pathologist
Primary
3
NE
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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