Individual
LAURIE ANN MORTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7375 CHANCELLOR DR, COLORADO SPRINGS, CO 80920-7150
(719) 232-4703
Mailing address
7375 CHANCELLOR DR, COLORADO SPRINGS, CO 80920-7150
(719) 232-4703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09923770
CO
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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