Individual
BRADY KORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 VICKI LN, NORFOLK, NE 68701-4558
(402) 370-3140
Mailing address
3404 PORTIA PL, NORFOLK, NE 68701-3091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14267
NE
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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