Individual
MEGAN KLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
21 S MARR ST, FOND DU LAC, WI 54935-4334
(920) 926-4207
(920) 926-8875
Mailing address
21 S MARR ST, FOND DU LAC, WI 54935-4334
(920) 926-4207
(920) 926-8875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6775-125
WI
Other
Enumeration date
10/31/2013
Last updated
02/13/2020
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