Individual
GRACE KIPENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4507 LIPAN ST, DENVER, CO 80211-2448
(720) 837-0884
Mailing address
4507 LIPAN ST, DENVER, CO 80211-2448
(720) 837-0884
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G869461
—
CO
Enumeration date
10/16/2019
Last updated
10/16/2019
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