Individual
JESSICA BIRCHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L695854
—
CO
Enumeration date
05/23/2018
Last updated
03/26/2021
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