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Contact Information

KIMBERLY A WANTZ, MSW,LCSW
1950 MOUNTAIN VIEW AVENUE
LONGMONT, CO80501
 Phone: 303-651-5111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KIMBERLY A WANTZ · (Female)

NPI Number 1104183136
Status Active
Credentials MSW,LCSW
Entity Individual
Enumeration date 04/16/2012
Last updated 04/16/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 2035
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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