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Individual

ASHLEY KLAMFOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
105 CANYON LAKE CIR, LUMBERTON, TX 77657-3701
(409) 200-2220
(409) 440-3344
Mailing address
105 CANYON LAKE CIR, LUMBERTON, TX 77657-3701
(409) 200-2220
(409) 440-3344

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
30301
TX
1041C0700X
Clinical Social Worker
Primary
30301
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8L10454
MEDICARE ID
TX
Enumeration date
06/19/2006
Last updated
11/14/2023
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