Individual
LAVENDER MARLOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
4810 S ZENO ST, AURORA, CO 80015-3246
(575) 202-7961
Mailing address
3040 118TH AVE SE APT H103, BELLEVUE, WA 98005-4171
(720) 202-8442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0009923201
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09927489
CO
Other
Enumeration date
09/24/2020
Last updated
07/31/2024
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