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Individual

ANN KLOCKAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1503 OHIO ST, LEAVENWORTH, KS 66048-2932
(615) 896-6400
Mailing address
5206 ROUND PRAIRE, SHAWNEE, KS 66226
(913) 422-0577

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1185
KS

Other

Enumeration date
07/17/2007
Last updated
07/17/2007
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