Individual
JANUARY MICHELE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 VICTOR ST, AURORA, CO 80045-7400
(303) 617-2300
(303) 617-2367
Mailing address
1290 S CHAMBERS RD, AURORA, CO 80011
(303) 617-2300
(303) 617-2397
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009925420
CO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/26/2024
Last updated
05/21/2024
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