Twin Dreams Llc | |
351 Cherry Gulch Rd Durango CO 81301-6469 | |
(970) 946-0992 | |
Not Available |
Full Name | Twin Dreams Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 351 Cherry Gulch Rd, Durango, Colorado |
Authorized Official Name and Position | Margery H Runyan (OWNEER) |
Authorized Official Contact | 9709460992 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Twin Dreams Llc 351 Cherry Gulch Rd Durango CO 81301-6469 Ph: (970) 946-0992 | Twin Dreams Llc 351 Cherry Gulch Rd Durango CO 81301-6469 Ph: (970) 946-0992 |
NPI Number | 1003137456 |
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Provider Enumeration Date | 06/21/2010 |
Last Update Date | 09/06/2023 |
Certification Date | 12/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003137456 | NPI | - | NPPES |
11827750 | Other | CAQH | |
001188500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW8844 (Florida) | Primary |
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