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Individual

LORA A KLOMPMAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
2068 LUCAS PKWY, LOWELL, IN 46356-2169
(219) 690-7025
Mailing address
17474 HOSHAW ST, LOWELL, IN 46356-9350
(219) 776-4774

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009409A
IN

Other

Enumeration date
05/19/2021
Last updated
05/19/2021
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