Individual
JENNIFER LIANI SLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7828 VANCE DR, SUITE 100, ARVADA, CO 80003-2124
(303) 425-0300
Mailing address
4851 INDEPENDENCE ST, SUITE 200, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1047
CO
Other
Enumeration date
06/01/2006
Last updated
06/16/2015
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