Individual
KATHLEEN SALMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2955 VALMONT RD, SUITE 110, BOULDER, CO 80301-1396
(908) 400-0311
Mailing address
3747 TALISMAN PL, UNIT A, BOULDER, CO 80301-2060
(908) 400-0311
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009920772
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09924561
CO
172V00000X
Community Health Worker
NLC.0105493
CO
Other
Enumeration date
05/08/2016
Last updated
10/30/2016
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