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Individual

CHRISTA WOHLGEMUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
200 PLAZA DR STE 200, HIGHLANDS RANCH, CO 80129-2348
(303) 730-8858
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C-08848
NM
1041C0700X
Clinical Social Worker
Primary
CSW.09926733
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
37052781
NM
01
475033YRND
MEDICARE
NM
Enumeration date
09/16/2010
Last updated
12/08/2020
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