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General NPI Number Information
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NPI Number | 1346602166
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Entity Type | Organization
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Legal Business Name | CATHY LOPEZ WESSELL LCSW LLC
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 2323 S TROY ST STE 107
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City | AURORA
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State | CO
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Zip | 80014-1946
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Country | US
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Telephone | 720-771-4157
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Fax |
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Provider Business Mailing Address
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Address Line | 7 MACON CT
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City | AURORA
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State | CO
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Zip | 80010-4642
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Country | US
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Telephone | 720-771-4157
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Fax |
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Authorized Official
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Title or Position | OWNER/LEAD THERAPIST
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Name | CATHY LOPEZ WESSELL
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Credential | LCSW
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Telephone | 720-771-4157
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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 | 992552
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License Number State | CO
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