Individual
MR. EDWARD JAMES KLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-5000
Mailing address
6035 TUCKERMAN LN, COLORADO SPRINGS, CO 80918-1401
(719) 598-4221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1208-LCSW
CO
Other
Enumeration date
04/18/2009
Last updated
09/14/2010
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