Individual
MR. KENNETH GRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1467 S VAN DYKE WAY, LAKEWOOD, CO 80228-3916
(720) 201-8863
Mailing address
1467 S VAN DYKE WAY, LAKEWOOD, CO 80228-3916
(720) 201-8863
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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