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Individual

NICOLE ELAINE RADTKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4600 VALLEY RD STE 350, LINCOLN, NE 68510-4844
(402) 474-0011
(402) 474-0012
Mailing address
815 K ST, LINCOLN, NE 68508-2960
(402) 474-0011
(402) 474-0012

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
3875
NE
104100000X
Social Worker
2443
NE

Other

Enumeration date
09/20/2010
Last updated
10/31/2024
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