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Individual

JENNIFER T. BASLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9362 GRAND CORDERA PKWY STE 170, COLORADO SPRINGS, CO 80924
(719) 627-3233
Mailing address
9362 GRAND CORDERA PKWY STE 170, COLORADO SPRINGS, CO 80924
(719) 627-3233

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.00001092
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CSW.00001092
COLORADO DEPARTMENT OF REGULATORY AGENCIES (DORA)
CO
Enumeration date
06/09/2020
Last updated
01/31/2021
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