Kimberly Ann Wantz, MSW,LCSW

NPI #1104183136 in Longmont, Colorado

Provider Information

NPI Number: 1104183136
Entity Type: Individual
Name: Kimberly Ann Wantz, MSW,LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW,LCSW
Enumeration Date: Apr 16, 2012
Last Updated: Apr 16, 2012

Practice Location

Address: 1950 MOUNTAIN VIEW AVENUE
City: Longmont
State: Colorado
ZIP Code: 80501
Phone: (303) 651-5111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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