Individual
JOHN KLODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(735) 960-5225
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0522
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9743
KS
Other
Enumeration date
08/05/2015
Last updated
07/24/2023
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