Individual
KIMBERLY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
36 OAK ST., BUENA VISTA, CO 81211-8121
(719) 539-6502
Mailing address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009920632
CO
Other
Enumeration date
07/29/2015
Last updated
01/09/2020
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