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4330 E 48th Ave Denver CO 80216-3228 | |
| (303) 742-0828 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4330 E 48th Ave, Denver, Colorado |
| Authorized Official Name and Position | Stacey Hoffman Hiatt (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7207999387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6240 Smith Rd Denver CO 80216-4632 Ph: () - | 4330 E 48th Ave Denver CO 80216-3228 Ph: (303) 742-0828 |
| NPI Number | 1225864929 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225864929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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