Individual
KELLY R GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3207 KITTERY CT, FORT COLLINS, CO 80526-2359
(970) 420-9595
Mailing address
3207 KITTERY CT, FORT COLLINS, CO 80526-2359
(970) 420-9595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0174
CO
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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