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NPI Code Detail

MEDICARE: LAURA GRAHAM PALACIOS MSW

MEDICARE: LAURA GRAHAM PALACIOS MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW.09923036CO
2104100000XSocial Worker

General Provider Information

NPI Number : 1457664989
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA GRAHAM PALACIOS MSW
Provider Business Mailing Address
First Line : 1121 COLORADO BLVD
Second Line :
City : IDAHO SPRINGS
State : CO
Zip : 80452
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4141 E DICKENSON PL
Second Line :
City : DENVER
State : CO
Zip : 80222-6012
Country : US
Telephone Number : 303-504-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2010
Last Update Date : 06/01/2026

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