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Individual

ATIS KLEINBERGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1800 BRENTWOOD AVE, KALAMAZOO, MI 49008-1861
(269) 267-2612
Mailing address
1800 BRENTWOOD AVE, KALAMAZOO, MI 49008-1861

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801080145
MI
1041C0700X
Clinical Social Worker
Primary
6801080145
MI
1041S0200X
School Social Worker
6801080145
MI

Other

Enumeration date
05/13/2013
Last updated
05/13/2013
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