Organization
CLINICAL SOCIAL WORK OF COLORADO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PELLETIER MSW, LCSW (OWNER/THERAPIST)
(970) 599-1163
Entity
Organization
Contact information
Practice address
155 W HARVARD ST, SUITE 201, FORT COLLINS, CO 80525-5200
(970) 599-1163
Mailing address
PO BOX 273331, FORT COLLINS, CO 80527-3331
(970) 599-1163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09923836
CO
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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