Individual
MRS. KATHRYN L WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
09924548
CO
1041C0700X
Clinical Social Worker
Primary
36243
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09924548
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
01
—
12018496
CAQH
CO
01
—
36243
BUREAU OF OCCUPATIONAL LICENSES
ID
Enumeration date
05/14/2009
Last updated
01/11/2017
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