Individual
DEVERA KAY KLEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6040 W LISBON AVE, SUITE 102, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Mailing address
S27W29043 JARMON RD, WAUKESHA, WI 53188-9223
(262) 968-2859
(414) 871-9111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39750200
—
WI
Enumeration date
01/17/2007
Last updated
07/08/2007
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