Individual
JENNIFER LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 W 72ND AVE, DENVER, CO 80221-2721
(303) 650-4460
Mailing address
1735 S PUBLIC RD, LAFAYETTE, CO 80026-7093
(303) 665-3036
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0000001440
CO
Other
Enumeration date
06/26/2024
Last updated
06/10/2025
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