Individual
MRS. COURTNEY KLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(480) 636-0013
Mailing address
1015 BOWLES AVE, FENTON, MO 63026-2394
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2023039884
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023039884
MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
MO
Enumeration date
12/28/2020
Last updated
07/31/2024
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