Individual
DESTINEE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2985 GROVE ST, DENVER, CO 80211-3749
(720) 568-0045
Mailing address
4242 DELAWARE ST, DENVER, CO 80216-2618
(303) 825-8113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
NLC.0110941
CO
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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