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Individual

JENNIFER FULLER JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
400 W MIDLAND AVE STE 100H, WOODLAND PARK, CO 80863
(719) 325-9927
(719) 960-2764
Mailing address
PO BOX 830, WOODLAND PARK, CO 80866-0830
(719) 325-9927
(719) 960-2764

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.00991838
CO

Other

Enumeration date
07/15/2019
Last updated
07/29/2019
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