Individual
MRS. KIMBERLY JEAN VANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 399-8020
Mailing address
965 SAULSBURY ST, LAKEWOOD, CO 80214-4821
(303) 842-0804
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0000000756
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09923644
CO
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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