Individual
JENNIFER EATHERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10056 HUGHES PL, HIGHLANDS RANCH, CO 80126-4744
(760) 464-4249
Mailing address
10056 HUGHES PL, HIGHLANDS RANCH, CO 80126-4744
(760) 464-4249
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009923303
CO
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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