Katherine Anne Dibattisto, LCSW

NPI #1225684145 in Longmont, Colorado

Provider Information

NPI Number: 1225684145
Entity Type: Individual
Name: Katherine Anne Dibattisto, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 15, 2019
Last Updated: Oct 7, 2019

Practice Location

Address: 1750 E KEN PRATT BLVD
City: Longmont
State: Colorado
ZIP Code: 80504-5311
Phone: (720) 718-2240

Specialties & Taxonomy Codes

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

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