Individual
MRS. KENDRA MARIE LIEDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
11059 E BETHANY DR, SUITE 200, AURORA, CO 80014-2622
(303) 617-2331
(303) 617-2398
Mailing address
11059 E BETHANY DR, SUITE 200, AURORA, CO 80014-2622
(303) 617-2331
(303) 617-2398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992871
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58587748
—
CO
Enumeration date
10/27/2006
Last updated
07/08/2007
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