Individual
MISS JEANNE ELIZABETH WIENERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
14301 E. HAMPDEN AVE, AURORA, CO 80014
(303) 617-2300
Mailing address
11059 E. BETHANY DRIVE, AURORA, CO 80014
(303) 617-2300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09923822
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13519302
CAQH
CO
Enumeration date
09/08/2010
Last updated
04/30/2015
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