Individual
JESSICA GREEN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
14042 E UTAH CIR, AURORA, CO 80012-5627
(402) 380-2309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009922036
CO
Other
Enumeration date
05/16/2021
Last updated
05/16/2021
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