Organization
DIANA SHENKIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA SHENKIN LCSW (SOLE MEMBER)
(970) 250-3149
Entity
Organization
Contact information
Practice address
710 BURBANK ST STE F, BROOMFIELD, CO 80020-1658
(970) 250-3149
Mailing address
710 BURBANK ST STE F, BROOMFIELD, CO 80020-1658
(970) 250-3149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.00989515
CO
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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