Individual
JESSICA RENEE KUDLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-7220
(303) 436-7381
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-7220
(303) 436-7381
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09923361
CO
Other
Enumeration date
11/15/2014
Last updated
11/15/2014
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