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NPI Code Detail

MEDICARE: KARLA BIBIANA VON MERZ LCSW

MEDICARE:   KARLA BIBIANA VON MERZ  LCSW
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 Worker536CO

General Provider Information

NPI Number : 1720035215
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA BIBIANA VON MERZ LCSW
Provider Business Mailing Address
First Line : 4141 E DICKENSON PL
Second Line :
City : DENVER
State : CO
Zip : 80222-6012
Country : US
Telephone Number : 303-504-6509
Fax Number : 303-782-0916
Provider Business Practice Location Address
First Line : 1405 FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80204-2211
Country : US
Telephone Number : 303-504-1500
Fax Number : 303-825-1711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2006
Last Update Date : 07/08/2007

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Directions to “ KARLA BIBIANA VON MERZ LCSW” Practice Location

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