Lidke, Audrey

Lidke, Audrey is an individual health care provider with primary practice located at 5645 Meadow Dr Se , Rochester MN 55904-8628. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lidke, Audrey can be contacted via phone (507) 951-4495.

Contact Information

Primary practice address
5645 Meadow Dr Se Rochester MN 55904-8628
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 00270 Minnesota

Profile Details

NPI number 1275823676
LBN Legal business name Lidke, Audrey
Credentials LPC, LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2011
Last updated Apr 19th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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