Individual
STACEY BOHLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30671 HIGHWAY 14, FAIRFIELD, NE 68938-2757
(402) 726-2412
Mailing address
30671 HIGHWAY 14, FAIRFIELD, NE 68938-2757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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