Individual
CASSANDRA DETWILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10190 BANNOCK ST STE 120, NORTHGLENN, CO 80260-6052
(303) 237-6865
Mailing address
4716 BLUEGATE DR, HIGHLANDS RANCH, CO 80130-6600
(303) 919-8671
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/06/2023
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