Travis Maurice Mallory
Travis Maurice Mallory is a Social Worker in Lincoln, Nebraska. Licensed in Nebraska. Registered with an NPI since 2021.
- Licensed in
- NE
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
2641 S 70th St Ste ALincoln, NE 68506-2912
Phone: (402) 327-9711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (NE) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence CPSS-070 (NE) |
Record details
| NPI number | 1720676083 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 4, 2021 |
| Last updated in NPPES | August 2, 2021 |
| Certification date | April 22, 2021 |
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