Individual
JULIA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 CRESTRIDGE ST STE 1, FORT COLLINS, CO 80525-4472
(970) 942-3031
Mailing address
125 CRESTRIDGE ST STE 1, FORT COLLINS, CO 80525-4472
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0000000825
CO
1041C0700X
Clinical Social Worker
Primary
09930974
CO
Other
Enumeration date
06/21/2022
Last updated
10/07/2024
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