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“Clinical Social Worker” (Peterson Space Force Base, CO)

Location: Peterson Space Force Base, CO
Taxonomy: Clinical Social Worker.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1114413598 — LACEY L MILLS
Practice Location Address:
559 VINCENT ST SPACE BASE DELTA 1
PETERSON SPACE FORCE BASE CO
80914-1541
Practice Phone: 719-524-2273
1144207721 — MRS. CYNTHIA ANN MILLER WYATT LCSW
Practice Location Address:
100 W ENT AVE BUILDING 725
PETERSON SPACE FORCE BASE CO
80916
Practice Phone: 719-556-8943
1417123191 — KRISTIN BOTHWELL LICSW
Practice Location Address:
NEXT-559 VINCENT ST. SPACE BASE DELTA 1
PETERSON SPACE FORCE BASE CO
80914-0000
Practice Phone: 617-413-6275

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