Individual
JESSICA R MADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2223 MAIN AVE STE 106, DURANGO, CO 81301-4654
(970) 698-2378
Mailing address
361 S CAMINO DEL RIO # 145, DURANGO, CO 81303-7997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09925318
CO
1041C0700X
Clinical Social Worker
18287
AZ
1041C0700X
Clinical Social Worker
28400
CA
Other
Enumeration date
09/07/2018
Last updated
03/14/2025
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