Individual
MS. ELISE CHRISTINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1440 W 29TH ST, #100, LOVELAND, CO 80538-2459
(971) 775-7061
(907) 292-8194
Mailing address
2740 HEADWATER DR, FORT COLLINS, CO 80521-1140
(337) 302-1810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
.09923917
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000000000
—
CO
Enumeration date
08/11/2015
Last updated
08/11/2015
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