Individual
ANDREA CORAL DEVITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
12886 W MONTANE CIR, BROOMFIELD, CO 80021-2815
(202) 302-1895
Mailing address
12886 W MONTANE CIR, BROOMFIELD, CO 80021-2815
(202) 302-1895
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW09925309
CO
1041C0700X
Clinical Social Worker
CW0174128
PA
Other
Enumeration date
07/10/2006
Last updated
03/11/2019
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