Individual
MALLORY ZACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11705 SOUTH 216TH ST., GRETNA, NE 68028
(402) 332-3048
Mailing address
11717 S 216TH ST, GRETNA, NE 68028-4729
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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