Organization
GLACIER LILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIA WOLFE LCSW (OWNER)
(970) 620-8188
Entity
Organization
Contact information
Practice address
2625 REDWING RD STE 230, FORT COLLINS, CO 80526-2804
(970) 620-8188
Mailing address
1936 DERBY CT, FORT COLLINS, CO 80526-2330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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