Individual
MS. BREEANNA HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 MAIN ST, MELROSE PARK, IL 60160
(708) 681-0073
Mailing address
2950 TENNYSON ST, DENVER, CO 80212-3029
(720) 855-3246
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0001270
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629450291
—
CO
Enumeration date
06/19/2015
Last updated
08/13/2018
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