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Individual

ANNE KNACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4090 BRIARGATE PARKWAY, COLORADO SPRINGS, CO 80920
(720) 777-1234
Mailing address
5536 ORO GRANDE DR, COLORADO SPRINGS, CO 80918-1924
(847) 343-1624

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09925789
CO

Other

Enumeration date
04/02/2019
Last updated
11/08/2023
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