| Charla Swift, Llc | |
|
916 Arizona Ave Ste A Trinidad CO 81082-2118 | |
| (719) 680-4047 | |
| Not Available |
| Full Name | Charla Swift, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 916 Arizona Ave Ste A, Trinidad, Colorado |
| Authorized Official Name and Position | Charla Chenoweth-swift (PRESIDENT) |
| Authorized Official Contact | 7196804047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charla Swift, Llc Po Box 940 Trinidad CO 81082-0940 Ph: (719) 680-4047 | Charla Swift, Llc 916 Arizona Ave Ste A Trinidad CO 81082-2118 Ph: (719) 680-4047 |
| NPI Number | 1457903999 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457903999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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