Individual
FRED KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
705 S GRAND ST, NASHVILLE, IL 62263-1534
(618) 327-8236
Mailing address
PO BOX 224, NASHVILLE, IL 62263-0224
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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