Philip Klonowski

NPI #1164993176 in Joplin, Missouri

Provider Information

NPI Number: 1164993176
Entity Type: Individual
Name: Philip Klonowski
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Dec 17, 2018
Last Updated: Dec 17, 2018

Practice Location

Address: 5620 W WILDWOOD RANCH PKWY
City: Joplin
State: Missouri
ZIP Code: 64804-4520
Phone: (417) 623-1990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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