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General NPI Number Information
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NPI Number | 1174473045
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Entity Type | Individual
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Provider Name | MICHELLE AIMEE SKAGEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 1450 E VALLEY RD UNIT 102
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City | BASALT
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State | CO
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Zip | 81621-8352
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Country | US
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Telephone | 970-927-4666
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Fax |
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Provider Business Mailing Address
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Address Line | 78 FERGUSON DR
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City | CARBONDALE
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State | CO
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Zip | 81623-9256
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Country | US
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Telephone | 720-438-1544
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09932703
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License Number State | CO
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