Leslie Bartlett Klockow, L.C.P.C

NPI #1417053703 in Brunswick, Maine

Provider Information

NPI Number: 1417053703
Entity Type: Individual
Name: Leslie Bartlett Klockow, L.C.P.C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: L.C.P.C
Enumeration Date: Sep 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 9 EVERETT ST
City: Brunswick
State: Maine
ZIP Code: 04011-2403
Phone: (207) 729-7710

Specialties & Taxonomy Codes

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

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