Individual
MS. ANASTASIA K LUEBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
(920) 456-5831
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1993-121
WI
1041C0700X
Clinical Social Worker
7150-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40977200
—
WI
Enumeration date
08/23/2006
Last updated
10/11/2023
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