Individual
CHRISTINE MARIE KLIETHERMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, LSW
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
PO BOX 568, CORBIN, KY 40702-0568
(606) 528-7010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3513
KY
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
3513
KY
Other
Enumeration date
08/10/2014
Last updated
08/12/2014
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