Individual
KRISTI W. MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7700
(303) 782-0916
Mailing address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7700
(303) 782-0916
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
989180
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800014240
RAILROAD MEDICARE
CO
Enumeration date
08/16/2005
Last updated
03/17/2014
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