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Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1093763096

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
267 6TH ST.  MEEKER, CO 81641 US
Tel: 970-878-5112  Fax: 970-878-4315

Contact information for business:
515 28 3/4 RD BLDG A GRAND JUNCTION, CO 81501-5016 US
Tel: 970-683-7107  Fax: 970-683-7167

Registration Information:
NPI: 1093763096
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
N101YA0400XBehavioral Health & Social Service Providers

Legacy codes, insurance codes and state license numbers:



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