LESLIE KLOCKOW, L.C.P.C
Counselor - Professional
Active
Individual
NPI: 1417053703
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | CC 766 (ME) |
Frequently Asked Questions
NPI 1417053703 is the National Provider Identifier for LESLIE KLOCKOW, L.C.P.C, a Counselor - Professional provider located in Brunswick, ME. This NPI was enumerated on September 15, 2006.
LESLIE KLOCKOW, L.C.P.C practices at 9 EVERETT ST, Brunswick, ME 04011.
Quick Facts
- NPI
- 1417053703
- Type
- Individual
- Enumerated
- Sep 15, 2006
- Last Updated
- Jul 8, 2007
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