Individual
KELLY NICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1601 E 19TH AVE STE 6600, DENVER, CO 80218-1292
(720) 961-6178
Mailing address
9197 GRANT ST, THORNTON, CO 80229-4329
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW.09931409
CO
Other
Enumeration date
03/06/2024
Last updated
02/13/2025
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