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Individual

DAVID DEAN KREUTZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2121 N WEBB RD, SUITE 200, GRAND ISLAND, NE 68803-1751
(308) 384-7119
(308) 384-0778
Mailing address
PO BOX 5855, GRAND ISLAND, NE 68802-5855
(308) 384-7119
(308) 384-0778

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2124 AND 976
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025269-00
NE
Enumeration date
11/27/2006
Last updated
07/09/2007
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