Individual
COURTNEY LIN FLORES RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3090 N 12TH ST UNIT A, GRAND JUNCTION, CO 81506-2804
(970) 241-2212
(970) 257-2401
Mailing address
1322 SAGITTARIUS ST, FRUITA, CO 81521-3035
(970) 640-1664
(970) 257-2401
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009921699
CO
1041C0700X
Clinical Social Worker
Primary
LSW.0009921699
CO
Other
Enumeration date
07/11/2018
Last updated
07/30/2021
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