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Organization
WELLSPRINGS OF HEALING LLC
Active
Organization
WELLSPRINGS OF HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE DUMOND MSW (LICENSED CLINICAL SOCIAL WORKER)
(303) 669-2982
Entity
Organization
Contact information
Practice address
400 E SIMPSON ST STE 105, LAFAYETTE, CO 80026-2359
(303) 669-2982
Mailing address
400 E SIMPSON ST STE 105, LAFAYETTE, CO 80026-2359
(303) 669-2982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53381785
—
CO
Enumeration date
06/15/2016
Last updated
06/15/2016
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