Individual
MS. SUSAN KATHERINE ISABEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S SHERMAN ST, DENVER, CO 80209-1621
(303) 765-2480
Mailing address
5356 W 17TH AVE, LAKEWOOD, CO 80214-1730
(303) 238-5182
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/12/2007
Last updated
07/08/2007
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