Individual
MS. KATHERINE LOUISE EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2101 MANITOBA DR, COLORADO SPRINGS, CO 80910-3375
(719) 328-2518
(719) 630-0171
Mailing address
4860 ROBB ST STE 201, WHEAT RIDGE, CO 80033-2162
(303) 278-7418
(888) 341-5050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1046
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13577972
CAQH
CO
Enumeration date
10/31/2008
Last updated
06/24/2015
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