Organization
WILLOW COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH SWANSON LCSW (MANAGER/MEMBER)
(970) 581-5155
Entity
Organization
Contact information
Practice address
375 E HORSETOOTH RD BLDG 6201, FORT COLLINS, CO 80525-6800
(970) 581-5155
Mailing address
375 E HORSETOOTH RD BLDG 6201, FORT COLLINS, CO 80525-6800
(970) 581-5155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/05/2021
Last updated
09/09/2022
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