Individual
JANNET MARTINEZ CHAVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9201 W 44TH AVE, WHEAT RIDGE, CO 80033-3084
(720) 551-4269
Mailing address
48 PASEO PL, LAMAR, CO 81052-3264
(719) 691-8791
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009925790
CO
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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