| Brian Klaung Msw Inc | |
|
6975 Redansa Drive Rockford IL 61108-1201 | |
| (815) 398-7000 | |
| (815) 395-0671 |
| Full Name | Brian Klaung Msw Inc |
|---|---|
| Speciality | Social Worker |
| Location | 6975 Redansa Drive, Rockford, Illinois |
| Authorized Official Name and Position | Brian David Klaung (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8153987000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Klaung Msw Inc 6975 Redansa Drive Rockford IL 61108-1201 Ph: (815) 398-7000 | Brian Klaung Msw Inc 6975 Redansa Drive Rockford IL 61108-1201 Ph: (815) 398-7000 |
| NPI Number | 1811266919 |
|---|---|
| Provider Enumeration Date | 12/19/2011 |
| Last Update Date | 12/19/2011 |
| Medicare PECOS PAC ID | 4385805118 |
|---|---|
| Medicare Enrollment ID | O20120420000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811266919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 194-004675 (Illinois) | Primary |
| Provider Name | Brian D Klaung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811905102 PECOS PAC ID: 8820259658 Enrollment ID: I20120627000515 |
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