TRAVIS MAURICE MALLORY

LINCOLN, NE
NPI1720676083
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies104100000X Social Worker
(Licence: NE  CPSS-070)
Enumeration Date2021-01-04
Last Update Date2021-08-02
Business Address
TRAVIS MAURICE MALLORY
2641 S 70TH ST STE A
LINCOLN, NE 68506-2912
Phone number: 402-327-9711
Mailing Address
TRAVIS MAURICE MALLORY
5308 S 65TH STREET CIR
LINCOLN, NE 68516-2382
Phone number: 402-480-5306
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