Individual
KIMBERLY ANN WANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
1950 MOUNTAIN VIEW AVENUE, LONGMONT, CO 80501
(303) 651-5111
Mailing address
5197 GALLATIN PLACE, BOULDER, CO 80303
(303) 975-6061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2035
CO
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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