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1730471228
WILLIAM FRANCIS MALLORY
WINNEBAGO, NE
NPI
1730471228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE 100)
Enumeration Date
2011-05-03
Last Update Date
2011-05-03
Business Address
-- WILLIAM FRANCIS MALLORY LADC
HIGHWAY 75/77 WINNEBAGO IHS HOSPITAL
WINNEBAGO, NE 68071-0767
Phone number: 402-878-2231
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Mailing Address
-- WILLIAM FRANCIS MALLORY LADC
601 W 17TH ST
SOUTH SIOUX CITY, NE 68776-2119
Phone number: 402-878-2231
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