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Individual

KENNETH BRADLEY LUEDKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PLADC

Contact information

Practice address
4706 SOUTH 48TH ST, LINCOLN, NE 68516
(402) 489-9792
(402) 489-9793
Mailing address
331 INDIAN RD, LINCOLN, NE 68505
(402) 318-4693

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1492
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NE

Other

Enumeration date
05/18/2017
Last updated
05/18/2017
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