Individual
KIMBERLY BLACKWELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1369 COOLCREST DR, COLORADO SPRINGS, CO 80906-7745
(719) 659-6610
Mailing address
1369 COOLCREST DR, COLORADO SPRINGS, CO 80906-7745
(719) 659-6610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09925027
CO
Other
Enumeration date
02/22/2018
Last updated
01/15/2020
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