Individual
CAROL QUATMAN PORAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2135 SOUTHGATE RD, COLORADO SPRINGS, CO 80906-2605
(719) 633-4114
Mailing address
2135 SOUTHGATE RD, COLORADO SPRINGS, CO 80906-2605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992826
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10055584
—
CO
Enumeration date
03/19/2007
Last updated
07/08/2007
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