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Individual

JESSICA LYNN KLOTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
111 N WEST ST STE H, EASTON, MD 21601-2760
(410) 449-0025
Mailing address
28931 SANDERSTOWN RD, TRAPPE, MD 21673-1956
(717) 659-0233

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC10393
MD
221700000X
Art Therapist
ATC169
MD

Other

Enumeration date
08/31/2019
Last updated
04/13/2020
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