Larry Liedke
Larry Liedke is an Addiction (Substance Use Disorder) Counselor in Wauchula, Florida. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
125 W Main St Suit BWauchula, FL 33873-2819
Phone: (863) 448-4332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1043614977 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 21, 2014 |
| Last updated in NPPES | October 21, 2014 |
| Mailing address | 125 W Main St, Suit B, Wauchula, FL 33873-2819 |