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ANN KLEEGER

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1205211042

Individual Registrant:
 ANN  KLEEGER 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
926 RUSSELL AVE  WALSENBURG, CO 81089-2134 US
Tel: 719-545-2746  Fax: 719-738-2021

Contact information for business:
41 MONTEBELLO RD SUITE 200 PUEBLO, CO 81001-1379 US
Tel: 719-545-2746  Fax: 719-542-9638

Registration Information:
NPI: 1205211042
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
COCSW.09924038
Y101YM0800XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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