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MS. ELENA K MOGENSEN MSW

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

Registrant NPI Number: 1417135013

Individual Registrant:
MS. ELENA K MOGENSEN MSW
Gender: F
Sole Proprietor

Location and contact information for practice:
685 MAIN ST. STE. 5-B MEEKER, CO 81641 US
Tel: 970-878-9935  Fax: 970-878-9970

Contact information for business:
PO BOX 777  MEEKER, CO 81641-0777 US
Tel: 970-878-9935  Fax: 970-878-9970

Registration Information:
NPI: 1417135013
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
CO988005

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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