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Organization
ROSAMOND THERAPEUTIC SERVICES
Active
Organization
ROSAMOND THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDA SEIFERD LCSW (OWNER)
(303) 801-8366
Entity
Organization
Contact information
Practice address
831 ROYAL GORGE BLVD STE 226, CANON CITY, CO 81212-6709
(303) 801-8366
(719) 452-3702
Mailing address
831 ROYAL GORGE BLVD STE 226, CANON CITY, CO 81212-6709
(303) 801-8366
(719) 452-3702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09923837
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233371218
—
CO
Enumeration date
02/25/2018
Last updated
03/17/2018
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