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Individual

JILL VAN DINTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
616 N TEJON ST, COLORADO SPRINGS, CO 80903-1010
(719) 287-8576
(719) 634-8218
Mailing address
3305 BRUNSWICK DR, COLORADO SPRINGS, CO 80920-7343
(719) 287-8576
(719) 634-8218

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
921
CO

Other

Enumeration date
07/23/2009
Last updated
07/13/2010
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