Organization
DIANE GLASS, LCSW, LCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE GLASS (LCSW)
(303) 514-3764
Entity
Organization
Contact information
Practice address
4251 KIPLING ST, SUITE 345, WHEAT RIDGE, CO 80033-2896
(303) 235-0915
Mailing address
4251 KIPLING ST, SUITE 345, WHEAT RIDGE, CO 80033-2896
(303) 235-0915
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
989858
CO
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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