Individual
DR. KATHRYN KLOCK-POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LMFT
Contact information
Practice address
711 ZITTEROUR DR, RINCON, GA 31326-9269
(912) 826-6442
(912) 826-1385
Mailing address
711 ZITTEROUR DR, RINCON, GA 31326-9269
(912) 826-6442
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1007
GA
Other
Enumeration date
07/28/2008
Last updated
01/20/2020
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