Individual
LILLY ANNE KELKENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LSW, CSWC
Contact information
Practice address
1295 KELLY JOHNSON BLVD STE 240, COLORADO SPRINGS, CO 80920-3963
(719) 480-8848
Mailing address
2735 E SAN MIGUEL ST UNIT 201, COLORADO SPRINGS, CO 80909-3159
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009926667
CO
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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