Individual
DOMINIQUE JACKSON-COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7340 E CALEY AVE STE 220, CENTENNIAL, CO 80111-6709
(719) 432-6322
Mailing address
8155 E FAIRMOUNT DR UNIT 2022, DENVER, CO 80230-6838
(719) 432-6322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW.0009924274
CO
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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