Organization
DEVARIA CONSULTING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MYRNA D. ALLEN LCSW (PRESIDENT/CEO)
(303) 956-6644
Entity
Organization
Contact information
Practice address
5429 S ESPANA CT, CENTENNIAL, CO 80015-3707
(303) 956-6644
Mailing address
5429 S ESPANA CT, CENTENNIAL, CO 80015-3707
(303) 956-6644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991205
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90024842
—
CO
Enumeration date
04/07/2010
Last updated
04/07/2010
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