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1235341801
CODY STONEWALL HOLLIST
LINCOLN, NE
NPI
1235341801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NE 115)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
Dr. CODY STONEWALL HOLLIST Ph.D.
2111 W MULBERRY ST
LINCOLN, NE 68522-1421
Phone number: 402-438-5330
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Mailing Address
Dr. CODY STONEWALL HOLLIST Ph.D.
2111 W MULBERRY ST
LINCOLN, NE 68522-1421
Phone number: 402-438-5330
Copy
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