Individual
EMILY MELISSA KLEEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
402 KIMBARK ST, LONGMONT, CO 80501-5526
(720) 593-0384
Mailing address
402 KIMBARK ST, LONGMONT, CO 80501-5526
(720) 593-0384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09924713
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000190760
—
CO
Enumeration date
10/24/2017
Last updated
12/09/2021
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