Individual
MRS. KIMBERLY ANN CANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2265 LAVA LN, ALAMOSA, CO 81101-3578
(719) 580-5833
(719) 589-5795
Mailing address
2265 LAVA LN, ALAMOSA, CO 81101-3578
(719) 580-5833
(719) 589-5795
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NLC.0104840
CO
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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