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MS. MARY PATRICE FEHN L.C.S.W.
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1912164674
Individual Registrant:MS. MARY PATRICE FEHN L.C.S.W.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
10460 WEST HIGHWAY 24 GREEN MOUNTAIN FALLS, CO 80819 US
Tel: 719-684-9511 Fax: --
Tel: 719-684-9511 Fax: --
Contact information for business:
PO BOX 1007 GREEN MOUNTAIN FALLS, CO 80819-1007 US
Tel: 719-684-9511 Fax: --
Tel: 719-684-9511 Fax: --
Registration Information:
NPI: 1912164674
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CO | 391 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 16477286 | CO | 05 |
