Individual
KIMBERLY PENNEY-SYSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2032 LOWE ST, SUITE 200, FORT COLLINS, CO 80525-5741
(970) 232-1156
Mailing address
2032 LOWE ST, SUITE 200, FORT COLLINS, CO 80525-5741
(970) 232-1156
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992640
CO
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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