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Individual

ROGER KRUGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LIMHP

Contact information

Practice address
19500 PACIFIC ST, ELKHORN, NE 68022-2726
(402) 614-6287
Mailing address
19500 PACIFIC ST, ELKHORN, NE 68022-2726
(402) 614-6287

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
943
NE
101YP1600X
Pastoral Counselor
2985
NE

Other

Enumeration date
09/29/2006
Last updated
01/18/2017
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