| Diane Glass, Lcsw, Lcc | |
|
4251 Kipling St Suite 345 Wheat Ridge CO 80033-2896 | |
| (303) 235-0915 | |
| Not Available |
| Full Name | Diane Glass, Lcsw, Lcc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4251 Kipling St, Wheat Ridge, Colorado |
| Authorized Official Name and Position | Diane Glass (LCSW) |
| Authorized Official Contact | 3035143764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Glass, Lcsw, Lcc 4251 Kipling St Suite 345 Wheat Ridge CO 80033-2896 Ph: (303) 235-0915 | Diane Glass, Lcsw, Lcc 4251 Kipling St Suite 345 Wheat Ridge CO 80033-2896 Ph: (303) 235-0915 |
| NPI Number | 1912451543 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912451543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 989858 (Colorado) | Primary |
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