Individual
KEZIA LEE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
621 W 96TH AVE, THORNTON, CO 80260-5469
(303) 853-3500
(303) 853-3702
Mailing address
1870 W 122ND AVE STE 100, WESTMINSTER, CO 80234-2075
(303) 853-3500
(303) 853-3702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09927762
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW.09927762
LCSW
CO
Enumeration date
09/13/2011
Last updated
11/17/2021
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