Individual
ADRIENNE KATHY MONDRAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2993 BROADMOOR VALLEY RD, COLORADO SPRINGS, CO 80906-4471
(719) 301-7731
Mailing address
PO BOX 7035, SURPRISE, AZ 85374-0100
(719) 301-7731
(719) 434-9730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0009922528
CO
Other
Enumeration date
12/06/2019
Last updated
03/31/2020
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