Individual
JENNIFER MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
BLDG 9481 WILDERNESS RD, FT. CARSON, CO 80913
(719) 526-2542
Mailing address
185 BELLA VISTA LN, COLORADO SPRINGS, CO 80911-2450
(719) 327-5660
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
925
CO
1041C0700X
Clinical Social Worker
Primary
CSW09924407
CO
Other
Enumeration date
06/10/2014
Last updated
01/17/2025
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