Individual
ELIZABETH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3035 W 25TH AVE, DENVER, CO 80211-4635
(303) 455-2409
Mailing address
2820 WOLFF ST, DENVER, CO 80212-1521
(303) 455-2409
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992361
CO
Other
Enumeration date
07/11/2015
Last updated
07/11/2015
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