Individual
KIRBY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4851 INDEPENDENCE ST FL 1, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
Mailing address
4851 INDEPENDENCE ST FL 1, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09930693
CO
1041S0200X
School Social Worker
—
CO
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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