Individual
MRS. KRISTINA SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
714 FRONT ST, LEADVILLE, CO 80461-3921
(719) 486-0985
Mailing address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
CSW.09925260
CO
Other
Enumeration date
08/28/2012
Last updated
09/23/2024
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