Individual
KIMBERLY BAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
745 RUSSELL ST, CRAIG, CO 81625-2019
(970) 824-8233
Mailing address
745 RUSSELL ST, CRAIG, CO 81625-2019
(970) 824-8233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LSW.0009920404
CO
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
09927147
CO
Other
Enumeration date
01/26/2017
Last updated
02/12/2021
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