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Individual

KRISTEN PELLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6500
Mailing address
1077 COLUMBINE WAY, ERIE, CO 80516-2476
(850) 687-0381

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW.0009923469
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CSW.09928336
LCSW
CO
Enumeration date
02/01/2022
Last updated
06/15/2022
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