Individual
HAYDN JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 PEORIA ST, AURORA, CO 80011-8231
(720) 531-7111
(720) 640-3317
Mailing address
PO BOX 746081, ATLANTA, GA 30374-6081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09928521
CO
Other
Enumeration date
03/28/2016
Last updated
11/18/2024
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