Individual
JESSICA RAE LIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7700
Mailing address
2238 S BROADWAY, DENVER, CO 80210-4419
(740) 580-2098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09927571
CO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/19/2016
Last updated
09/13/2021
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