Individual
MS. KIMBERLY ANN SANDUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1853 OCONNELL BLVD, BLDG 1056, FORT CARSON, CO 80913-4055
(719) 526-6748
Mailing address
990 BAYFIELD WAY, #201, COLORADO SPRINGS, CO 80906-4627
(719) 357-3072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000081
GU
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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