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NPI Code Detail

MEDICARE: MARY L. STERRITT LCSW

MEDICARE: MARY L. STERRITT 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 Worker991336CO

General Provider Information

NPI Number : 1912999368
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY L. STERRITT LCSW
Provider Business Mailing Address
First Line : 3401 EUDORA ST
Second Line :
City : DENVER
State : CO
Zip : 80207
Country : US
Telephone Number : 303-504-6500
Fax Number :
Provider Business Practice Location Address
First Line : 3401 EUDORA ST
Second Line :
City : DENVER
State : CO
Zip : 80207
Country : US
Telephone Number : 303-504-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 02/19/2016

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Directions to “ MARY L. STERRITT LCSW” Practice Location

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