Individual
AUDREY LIDKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LISW
Contact information
Practice address
5645 MEADOW DR SE, ROCHESTER, MN 55904-8628
(507) 951-4495
Mailing address
5645 MEADOW DR SE, ROCHESTER, MN 55904-8628
(507) 951-4495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00270
MN
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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