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General NPI Number Information
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NPI Number | 1972390730
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Entity Type | Individual
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Provider Name | HALEY CHATWIN LCSW, ADDC
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Gender | Female
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 12567 W CEDAR DR STE 250
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City | LAKEWOOD
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State | CO
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Zip | 80228-2039
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Country | US
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Telephone | 303-691-6095
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Fax |
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Provider Business Mailing Address
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Address Line | 147 COUNTY ROAD 507
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City | BAYFIELD
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State | CO
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Zip | 81122-9712
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Country | US
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Telephone | 970-632-3120
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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 | 09931661
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License Number State | CO
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