Individual
JULIE BANSCH-WICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
357 MCCASLIN BLVD, LOUISVILLE, CO 80027-2941
(303) 519-7060
Mailing address
1597 COLE BLVD STE 250, LAKEWOOD, CO 80401-3417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2041
CO
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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