Individual
KELLI KORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10495 S PROGRESS WAY UNIT 206, PARKER, CO 80134-4032
(720) 258-6518
(866) 241-0588
Mailing address
41479 COUNTRY ROSE CIR, PARKER, CO 80138-4569
(720) 258-6518
(866) 241-0588
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
508
CO
1041C0700X
Clinical Social Worker
Primary
09923289
CO
1041S0200X
School Social Worker
37501
CO
Other
Enumeration date
05/11/2011
Last updated
09/10/2018
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