Individual
MRS. ALEGRIA A KLETZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
2997 PIEDMONT RD NE, ATLANTA, GA 30305-2768
(404) 261-8165
(404) 705-0818
Mailing address
2997 PIEDMONT RD NE, ATLANTA, GA 30305-2768
(404) 261-8165
(404) 705-0818
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
GA539LMFT
GA
101Y00000X
Counselor
Primary
GA755LPC
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52142434
BCBS
GA
Enumeration date
07/10/2006
Last updated
07/08/2007
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