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Individual

JAMIE DUBOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, LICSW

Contact information

Practice address
10350 DRANSFELDT RD, PARKER, CO 80134
(303) 730-8858
Mailing address
155 INVERNESS DR W, ENGLEWOOD, CO 80112-5095
(303) 730-8858

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
09923279
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09923279
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
58603727
CO
Enumeration date
09/01/2017
Last updated
08/09/2018
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