Tracy Kenline, LCSW Valid NPI

Individual provider · Clinical Social Worker · Broomfield, CO

NPI

1629199765

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

1453 (CO)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-04-03

Last updated

2011-11-21