Individual
DR. CORA KLOTZBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
724 FRONT STREET, SUITE 230, EVANSTON, WY 82930
(307) 789-6773
(307) 789-3244
Mailing address
724 FRONT STREET, SUITE 230, EVANSTON, WY 82930
(307) 789-6773
(307) 789-3244
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
302
WY
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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