Individual
KELCI SANSONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3595 S TELLER ST, LAKEWOOD, CO 80235
(303) 204-0940
Mailing address
3595 S TELLER ST, LAKEWOOD, CO 80235-2014
(303) 425-0300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009920051
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09923744
CO
Other
Enumeration date
04/16/2014
Last updated
10/19/2018
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