Individual
DIANE GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4251 KIPLING ST, SUITE 345, WHEAT RIDGE, CO 80033-2896
(303) 514-3764
Mailing address
4251 KIPLING ST, SUITE 345, WHEAT RIDGE, CO 80033-2896
(303) 514-3764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW00989858
CO
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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