Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003237579 |
---|---|
Provider Name | Robert Klaer |
First Address | Sterling, CO 80751-3168 |
Second Address | Sterling, CO 80751-3168 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2013 |
Last Update Date | 30/12/2013 |