Individual
ANNALISE CATHARINE EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 2ND ST, FORT LUPTON, CO 80621-1745
(303) 697-2583
(720) 322-9411
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
04/28/2021
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