Larry Liedke, | |
125 W Main St, Suit B, Wauchula, FL 33873-2819 | |
(863) 448-4332 | |
Not Available |
Full Name | Larry Liedke |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 125 W Main St, Wauchula, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043614977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Larry Liedke, 125 W Main St, Suit B, Wauchula, FL 33873-2819 Ph: (863) 448-4332 | Larry Liedke, 125 W Main St, Suit B, Wauchula, FL 33873-2819 Ph: (863) 448-4332 |
Jennifer Martin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 E Orange St, Wauchula, FL 33873 Phone: 863-519-0575 Fax: 863-582-9251 | |
Brandi Horak, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 S 9th Ave, Wauchula, FL 33873 Phone: 863-773-2226 |