Individual
MARY FAYE FATTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
422 N HASTINGS AVE, HASTINGS, NE 68901-5169
(308) 379-3187
Mailing address
422 N HASTINGS AVE, HASTINGS, NE 68901-5169
(308) 379-3187
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2214
NE
Other
Enumeration date
09/09/2007
Last updated
09/09/2007
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