Individual
MCKENNA MARIE FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3055 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-5748
(719) 636-2122
Mailing address
14407 TIERRA DR, COLORADO SPRINGS, CO 80921-2817
(719) 640-4647
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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