Individual
JESSICA MARIE SHIVELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 E 27TH ST, LOVELAND, CO 80538-3203
(970) 541-1015
Mailing address
1000 BLUE SPRUCE DR, LOVELAND, CO 80538-2859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09926613
CO
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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