Individual
KENNETH R MONTOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LICSW
Contact information
Practice address
5030 SQUIRRELTAIL DR, COLORADO SPRINGS, CO 80920-7635
(720) 323-3684
Mailing address
5030 SQUIRRELTAIL DR, COLORADO SPRINGS, CO 80920-7635
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09924681
CO
1041C0700X
Clinical Social Worker
LW60336220
WA
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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