Organization
CHARLA SWIFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLA CHENOWETH-SWIFT LCSW (PRESIDENT)
(719) 680-4047
Entity
Organization
Contact information
Practice address
916 ARIZONA AVE STE A, TRINIDAD, CO 81082-2118
(719) 680-4047
Mailing address
PO BOX 940, TRINIDAD, CO 81082-0940
(719) 680-4047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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