Individual
ANTONIA RAE GOEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
708 MAIN ST, BANCROFT, NE 68004-3014
(402) 648-3336
(402) 648-3337
Mailing address
708 MAIN ST, BANCROFT, NE 68004-3014
(402) 648-3336
(402) 648-3337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
597
NE
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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