Individual
MS. KATHY LYNN WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1219 LAKE PLAZA DR STE B, COLORADO SPRINGS, CO 80906-3509
(417) 881-2339
(417) 886-3291
Mailing address
PO BOX 74, FOUNTAIN, CO 80817-0074
(417) 839-8100
(719) 465-3135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW00001701
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493264402
—
MO
Enumeration date
03/26/2007
Last updated
07/21/2022
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