Individual
ELLEN SULLIVAN WASSIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
281 SAWYER DR, DURANGO, CO 81303-3409
(970) 749-0045
Mailing address
281 SAWYER DR, DURANGO, CO 81303-3409
(970) 749-0045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/23/2008
Last updated
01/29/2015
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