Individual
AZENAY NICHOLE TELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 S SYRACUSE WAY STE 260, GREENWOOD VILLAGE, CO 80111-4739
(831) 521-0457
Mailing address
6200 S SYRACUSE WAY STE 260, GREENWOOD VILLAGE, CO 80111-4739
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009924576
CO
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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