Individual
CARLY DIEROLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
439 EDWARDS ACCESS RD, EDWARDS, CO 81632-5634
(970) 445-2489
Mailing address
439 EDWARDS ACCESS RD, EDWARDS, CO 81632-5634
(970) 445-2489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09928841
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
05/24/2024
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