Individual
JENNIFER BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
22699 E ROCKINGHORSE PKWY, AURORA, CO 80016-7920
(719) 425-1180
Mailing address
22699 E ROCKINGHORSE PKWY, AURORA, CO 80016-7920
(719) 425-1180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09924550
CO
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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