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Organization

DENVER VAMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN CARLETON (LSCW, CACIII)
(303) 399-8020
Entity
Organization

Contact information

Practice address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 399-8020
Mailing address
1055 CLERMONT ST, DENVER, CO 80220-3808

Taxonomy

Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
CSW-1858
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CSW-1858
LCSW LICENSE NUMBER
CO
Enumeration date
05/23/2013
Last updated
05/23/2013
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