Individual
DEBRA LYNN BODTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4535 NORMAL BLVD, SUITE 222, LINCOLN, NE 68506-5576
(402) 310-5668
Mailing address
1911 N.W. 50THST., LINCOLN, NE 68528
(402) 310-5668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
710
NE
1041C0700X
Clinical Social Worker
Primary
485
NE
Other
Enumeration date
10/12/2006
Last updated
01/07/2015
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