Individual
MR. KENNETH LEE LINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10 FARRAGUT AVE, COLORADO SPRINGS, CO 80909-5626
(719) 290-0488
(719) 634-0482
Mailing address
1342 ADAMS DR, COLORADO SPRINGS, CO 80904-1212
(719) 290-0488
(719) 634-0482
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992771
CO
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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