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Individual

ELISA FADUM-MONTOYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-7220
Mailing address
9380 OSCEOLA ST, WESTMINSTER, CO 80031-6439
(303) 482-6992

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.00992467
CO

Other

Enumeration date
10/23/2011
Last updated
10/24/2024
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