Individual
KRISTOPHER BENJAMIN-LEE COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1319 SUMMIT AVE, FORT WORTH, TX 76102-4431
(817) 647-4337
Mailing address
8225 CALMONT AVE APT 1013, FORT WORTH, TX 76116-3501
(979) 220-6885
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115814
TX
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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