Individual
JULIE ANDREA VISNICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1053 MAIN AVE STE 109A, DURANGO, CO 81301-5568
(970) 769-8397
Mailing address
149 W 32ND ST, DURANGO, CO 81301-4234
(970) 769-8397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1375
CO
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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