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1972121929
RICHARD WALLACE KLOMP
DULUTH, GA
NPI
1972121929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC003903)
Enumeration Date
2020-07-07
Last Update Date
2020-07-07
Business Address
RICHARD WALLACE KLOMP LPC
1810 PEACHTREE INDUSTRIAL BLVD STE 231
DULUTH, GA 30097-8178
Phone number: 404-518-4325
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Mailing Address
RICHARD WALLACE KLOMP LPC
3275 OAK HAMPTON WAY
DULUTH, GA 30096-5882
Phone number: 404-518-4325
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