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NPI Code Detail

MEDICARE: MR. JOSEPH MELVIN KLEMZ LICSW

MEDICARE:  MR. JOSEPH MELVIN KLEMZ  LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW-41601ID
21041C0700XClinical Social WorkerL12238OR
31041C0700XClinical Social WorkerLW60216256WA

General Provider Information

NPI Number : 1013130558
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH MELVIN KLEMZ LICSW
Provider Business Mailing Address
First Line : 1498 SE TECH CENTER PL
Second Line : 385
City : VANCOUVER
State : WA
Zip : 98683-9591
Country : US
Telephone Number : 360-619-2226
Fax Number :
Provider Business Practice Location Address
First Line : 1498 SE TECH CENTER PL STE 300
Second Line :
City : VANCOUVER
State : WA
Zip : 98683-5509
Country : US
Telephone Number : 360-619-2226
Fax Number : 360-326-9691
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 12/13/2024

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Directions to “ MR. JOSEPH MELVIN KLEMZ LICSW” Practice Location

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