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Individual

LISA KLOCKENGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLPC

Contact information

Practice address
306 S INDEPENDENCE ST, HARRISONVILLE, MO 64701-2352
(816) 380-4010
(417) 667-9216
Mailing address
815 S ASH ST, NEVADA, MO 64772-3222
(417) 667-8352
(417) 667-9216

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013038286
MO

Other

Enumeration date
07/29/2014
Last updated
07/29/2014
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