# SANDRA HALE KROEKER, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285957415
- **Authorized official:** SANDRA HALE KROEKER LMSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (402) 723-4883

## Contact information

- **Practice address:** 1080 17TH ST, HENDERSON, NE 68371-8906
- **Practice address phone:** (402) 723-4883
- **Practice address fax:** (402) 723-4914
- **Mailing address:** PO BOX 684, 1080 17TH ST., HENDERSON, NE 68371-0684
- **Mailing address phone:** (402) 723-4883
- **Mailing address fax:** (402) 723-4914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 33 | NE | Yes |
| 1041C0700X | Clinical Social Worker | 76 | NE | — |
| 106H00000X | Marriage & Family Therapist | 64 | NE | — |

## Other

- **Enumeration date:** 03/02/2010
- **Last updated:** 03/02/2010