Individual
OLIVIA BRAY MENESES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009924069
CO
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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