Individual
MRS. DIANE ELIZABETH KLENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA. PLPC
Contact information
Practice address
1011 BEDFORD LN, BALLWIN, MO 63011-1504
(636) 226-7559
Mailing address
1011 BEDFORD LN, BALLWIN, MO 63011-1504
(636) 226-7559
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012013127
MO
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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