Individual
JOSIE MOON MINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1780 S BELLAIRE ST STE 185, DENVER, CO 80222-4366
(720) 805-6085
Mailing address
1780 S BELLAIRE ST STE 185, DENVER, CO 80222-4366
(720) 805-6085
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009923101
CO
104100000X
Social Worker
12311
KS
104100000X
Social Worker
2021029517
MO
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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