Individual
KIMBERLY KOLSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
525 W BROWN RD, MESA, AZ 85201-3202
(480) 684-7985
(480) 684-6964
Mailing address
PO BOX 16423, MESA, AZ 85211-6423
(480) 684-6331
(480) 684-6964
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15989
AZ
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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