Individual
MS. LAVADA S GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CAC III
Contact information
Practice address
3939 E ARAPAHOE RD, SUITE 215, CENTENNIAL, CO 80122-2090
(303) 637-4218
(303) 771-2148
Mailing address
3939 E ARAPAHOE RD, SUITE 215, CENTENNIAL, CO 80122-2090
(303) 637-4218
(303) 771-2148
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
989551
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60854324
UNITED HEALTH CARE ID
CO
Enumeration date
05/17/2007
Last updated
07/08/2007
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