Individual
MR. STAN KLETKEWICZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
66 N MAIN ST, MEDFORD, NJ 08055-2719
(856) 912-8834
Mailing address
1436 HAINESPORT RD, MOUNT LAUREL, NJ 08054-9509
(856) 912-8834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00231700
NJ
Other
Enumeration date
02/06/2016
Last updated
02/06/2016
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