Individual
KATHLEEN NOVACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 K ST, LINCOLN, NE 68508-2949
(402) 477-3951
(402) 477-9117
Mailing address
905 N 12TH ST, SEWARD, NE 68434-1403
(402) 643-6587
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
42870
NE
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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