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Individual
MR. BROCK CONRAD KLEMENT
Active
Individual
MR. BROCK CONRAD KLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-18611
AZ
101YP2500X
Professional Counselor
Primary
10038-125
WI
101YP2500X
Professional Counselor
2751
MN
Other
Enumeration date
11/03/2021
Last updated
11/02/2022
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