Organization
INTEGRATIVE LIFE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA VIGGIANO LCSW, RDN, C-IAYT (OWNER AND PROVIDER)
(303) 733-9519
Entity
Organization
Contact information
Practice address
3773 E CHERRY CREEK NORTH DR STE 575, DENVER, CO 80209-3825
(303) 733-9519
Mailing address
416 S GRANT ST, DENVER, CO 80209-1727
(303) 733-9519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992073
CO
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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