Individual
SKYLAR SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 MIDLAND AVE STE 15B, BASALT, CO 81621-8119
(970) 925-5858
Mailing address
PO BOX 1115, BASALT, CO 81621-1115
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
05/05/2023
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