Individual
ELLEN THISTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1170 S VRAIN ST, DENVER, CO 80219-3714
(561) 706-6303
Mailing address
1170 S VRAIN ST, DENVER, CO 80219-3714
(561) 706-6303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09925694
CO
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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