Individual
ELLEN PERRICONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
2796 UTICA ST, DENVER, CO 80212-3046
(720) 810-4740
Mailing address
2796 UTICA ST, DENVER, CO 80212-3046
(720) 810-4740
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9630137
CO
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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