Individual
MS. KATHLEEN M SHERLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
750 S RANGE, COLBY, KS 67701
(785) 462-6774
(785) 462-3690
Mailing address
200 S MISSION RIDGE, COLBY, KS 67701
(785) 460-7353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW1838
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66138
BCBS
KS
Enumeration date
01/17/2007
Last updated
07/08/2007
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