| Jessica R Mady | |
|
2257 Main Ave Durango CO 81301-4660 | |
| (970) 698-2378 | |
| Not Available |
| Full Name | Jessica R Mady |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2257 Main Ave, Durango, Colorado |
| Authorized Official Name and Position | Jessica Mady (OWNER) |
| Authorized Official Contact | 9706982378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica R Mady 2257 Main Ave Durango CO 81301-4660 Ph: (970) 698-2378 | Jessica R Mady 2257 Main Ave Durango CO 81301-4660 Ph: (970) 698-2378 |
| NPI Number | 1487486627 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487486627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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