Individual
MR. GLENN KARL LUEDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4310 W PUETZ RD, FRANKLIN, WI 53132-8441
(414) 423-0583
Mailing address
4310 W PUETZ RD, FRANKLIN, WI 53132-8441
(414) 423-0583
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4353-125
WI
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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