Individual
GEORGE KLUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, SLP
Contact information
Practice address
5004 THOMAS DR, UNIT 1808, PANAMA CITY BEACH, FL 32408-6969
(907) 602-8719
Mailing address
5004 THOMAS DR., UNIT 1808, PANAMA CITY BEACH, FL 32408
(907) 602-8719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
504
AK
235Z00000X
Speech-Language Pathologist
Primary
SA 329
FL
235Z00000X
Speech-Language Pathologist
SP4088
TN
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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