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Individual

MARLENE JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
10190 BANNOCK ST STE 120, NORTHGLENN, CO 80260-6052
(720) 324-1026
Mailing address
43001 E 88TH AVE, BENNETT, CO 80102-9630
(720) 324-1026

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
10/26/2021
Last updated
10/26/2021
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