Individual
MS. EVA KAI KLEMENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1400 DIXON ST, LAFAYETTE, CO 80026-2790
(303) 926-6459
Mailing address
1400 DIXON AVENUE, LAFAYETTE, CO 80026-2790
(303) 926-6459
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
947
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178
LICENSE
CO
01
—
947
LCSW
CO
Enumeration date
04/16/2007
Last updated
10/02/2013
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