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Individual

BRIAN KLAUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW MSW

Contact information

Practice address
6975 REDANSA DR, ROCKFORD, IL 61108-1201
(815) 398-7000
(815) 395-0671
Mailing address
6975 REDANSA DR, ROCKFORD, IL 61108-1201
(815) 398-7000
(815) 395-0671

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149004675
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10172025
BCBS
IL
Enumeration date
08/03/2006
Last updated
07/08/2007
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