Organization
SANDRA HALE KROEKER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA HALE KROEKER LMSW (CLINICAL SOCIAL WORKER)
(402) 723-4883
Entity
Organization
Contact information
Practice address
1080 17TH ST, HENDERSON, NE 68371-8906
(402) 723-4883
(402) 723-4914
Mailing address
PO BOX 684, 1080 17TH ST., HENDERSON, NE 68371-0684
(402) 723-4883
(402) 723-4914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33
NE
1041C0700X
Clinical Social Worker
76
NE
106H00000X
Marriage & Family Therapist
64
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025795700
—
NE
Enumeration date
03/02/2010
Last updated
03/02/2010
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