Individual
KELLY MOZENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8510 BRYANT ST STE 200, WESTMINSTER, CO 80031-3845
(303) 650-4460
(303) 665-3397
Mailing address
1735 S PUBLIC RD STE 203, LAFAYETTE, CO 80026-7093
(303) 665-3036
(303) 665-3397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09928578
CO
390200000X
Student in an Organized Health Care Education/Training Program
SWC.0000000081
CO
Other
Enumeration date
09/28/2020
Last updated
10/04/2022
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