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Individual
SANDRA LEE KROEKER
Active
Individual
SANDRA LEE KROEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
33
NE
1041C0700X
Clinical Social Worker
Primary
76
NE
106H00000X
Marriage & Family Therapist
64
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47069582800
—
NE
Enumeration date
10/04/2007
Last updated
05/12/2008
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