Individual
GARY KLOZENBUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
BUILDING 7672, FORT RILEY, KS 66442-4030
(788) 240-6189
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(788) 239-7208
(785) 239-7364
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1571
KS
Other
Enumeration date
09/17/2007
Last updated
07/18/2023
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