Individual
DENNIS JAMES KLUDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
500 N 9TH STREET, MODESTO, CA 95354-3428
(209) 525-6225
(209) 525-6291
Mailing address
800 SCENIC DRIVE, MODESTO, CA 95350-3211
(209) 525-6225
(209) 525-6291
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
ASW 12139
CA
104100000X
Social Worker
Primary
LCS24562
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YP2500X
MH CLINICIAN 1
CA
Enumeration date
03/26/2007
Last updated
11/10/2009
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