Organization
KIM KODITEK LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM KODITEK MSW (THERAPIST/OWNER)
(720) 480-4814
Entity
Organization
Contact information
Practice address
706 HAYS CIR, LONGMONT, CO 80504-1338
(720) 480-4814
Mailing address
706 HAYS CIR, LONGMONT, CO 80504-1338
(720) 480-4814
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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