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Individual

JAMIE LEE KUNTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRAN CIR B7500, FORT CARSON, CO 80913-4263
(704) 425-6878
Mailing address
EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRAN CIR B7500, FORT CARSON, CO 80913-4263
(704) 425-6878

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
75295
CA
1041C0700X
Clinical Social Worker
Primary
CSW.09929842
CO

Other

Enumeration date
06/29/2021
Last updated
03/11/2024
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