Leslie Bartlett Klockow in Brunswick - Professional
Leslie Bartlett Klockow - NPI 1417053703
Leslie Bartlett Klockow is a Professional in Brunswick, Maine. Leslie Bartlett Klockow practices all healthcare services and medical treatments related to Professional. The NPI Number for Leslie Bartlett Klockow is 1417053703. The last update date is 2007-07-08.
Leslie Bartlett Klockow's current location address is 9 Everett St, Brunswick, Maine. You can contact this provider via phone number 2077297710 and fax number 2077297801. The mailing address for Leslie Bartlett Klockow is 9 Everett St, Brunswick, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | Leslie Bartlett Klockow |
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Address | 9 Everett St, Brunswick, Maine |
Phone Number | 2077297710 |
Fax Number | 2077297801 |
Sole Proprietor | N |
Credentials | L.C.P.C |
NPI Number Detail
NPI Number | 1417053703 |
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Provider Enumeration Date | 2006-09-15 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 9 Everett St |
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City | Brunswick |
State | Maine (ME) |
Post Code | 40112403 |
Phone Number | 2077297710 |
Fax Number | 2077297801 |
Provider's Primary Taxonomy Detail
Speciality | Professional |
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Taxonomy | 101Yp2500X |
Licence No | CC 766 |
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique identifier code issued to Leslie Bartlett Klockow by the Centers for Medicare & Medicaid Services?
The Leslie Bartlett Klockow has been assigned the NPI (National Provider Identifier) 1417053703. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Leslie Bartlett Klockow is geographically located?
The Leslie Bartlett Klockow is physically situated at the following location: 9 Everett St, Brunswick, ME, 40112403.
What is Leslie Bartlett Klockow's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Leslie Bartlett Klockow's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417053703 to Leslie Bartlett Klockow?
The Leslie Bartlett Klockow received its 1417053703 assignment from the Centers for Medicare & Medicaid Services on 2006-09-15.
As of what date were the details related to Leslie Bartlett Klockow most recently updated or revised?
The information pertaining to Leslie Bartlett Klockow, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.