Individual
CARLY ANN KLENKLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
304 N JEFFERSON AVE, IOLA, KS 66749-2327
(620) 365-5717
Mailing address
525 N GRANT ST, ERIE, KS 66733-1007
(620) 212-0574
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13123
KS
Other
Enumeration date
06/01/2023
Last updated
06/13/2023
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