Individual
JEFFREY KLOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
47 LONG LOTS ROAD, WESTPORT, CT 06880-3800
(203) 221-8801
Mailing address
5 LONE PINE LN, WESTPORT, CT 06880-2539
(203) 226-5378
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003883
CT
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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