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Organization
MOUNTAIN WEST WISDOM AND WELLNESS, LLC
Active
Organization
MOUNTAIN WEST WISDOM AND WELLNESS, LLC
Active
Other names
Diane Fern, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE FERN LCSW (OWNER)
(402) 617-8683
Entity
Organization
Contact information
Practice address
7114 W JEFFERSON AVE STE 207, LAKEWOOD, CO 80235-2356
(720) 258-6278
Mailing address
10233 CAVALETTI DR, LITTLETON, CO 80125-7940
(401) 617-8683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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