Individual
MS. CORA LEA CHITTENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1415 N CASCADE AVE, COLORADO SPRINGS, CO 80907-7404
(719) 633-2168
Mailing address
1415 N CASCADE AVE, COLORADO SPRINGS, CO 80907-7404
(719) 633-2168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
876045
CO
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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