Individual
KATHERINE MARIE DICKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4790 TABLE MESA DR STE 202, BOULDER, CO 80305-5660
(720) 263-0334
Mailing address
322 LAUREL ST, BROOMFIELD, CO 80020-2035
(480) 436-1912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW.0009925915
CO
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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