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Individual

DANIELLE DENISE KENNEBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1800 SYRACUSE AVE, NORFOLK, NE 68701-2458
(402) 371-8834
(402) 379-0988
Mailing address
1800 SYRACUSE AVE, NORFOLK, NE 68701-2458
(402) 371-8834
(402) 379-0988

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
STUDENT

Other

Enumeration date
07/01/2008
Last updated
07/01/2008
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