Individual
MS. KEHLY ANN STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1335 PHAY AVE, STE B, CANON CITY, CO 81212
(719) 445-6689
(719) 372-8281
Mailing address
1335 PHAY AVE, STE B, CANON CITY, CO 81212
(719) 429-7528
(719) 372-8281
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09925398
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14378751
CAQH
CO
05
—
9000163735
—
CO
Enumeration date
02/11/2016
Last updated
02/14/2024
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