| Diana Shenkin | |
|
710 Burbank St Ste F Broomfield CO 80020-1658 | |
| (970) 250-3149 | |
| Not Available |
| Full Name | Diana Shenkin |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 710 Burbank St Ste F, Broomfield, Colorado |
| Authorized Official Name and Position | Diana Shenkin (SOLE MEMBER) |
| Authorized Official Contact | 9702503149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Shenkin 710 Burbank St Ste F Broomfield CO 80020-1658 Ph: (970) 250-3149 | Diana Shenkin 710 Burbank St Ste F Broomfield CO 80020-1658 Ph: (970) 250-3149 |
| NPI Number | 1144777525 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 09/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144777525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW.00989515 (Colorado) | Primary |
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