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1104183136
KIMBERLY ANN WANTZ
LONGMONT, CO
NPI
1104183136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 2035)
Enumeration Date
2012-04-16
Last Update Date
2012-04-16
Business Address
-- KIMBERLY ANN WANTZ MSW,LCSW
1950 MOUNTAIN VIEW AVENUE
LONGMONT, CO 80501
Phone number: 303-651-5111
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Mailing Address
-- KIMBERLY ANN WANTZ MSW,LCSW
5197 GALLATIN PLACE
BOULDER, CO 80303
Phone number: 303-975-6061
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