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NPI Code Detail

MEDICARE: MRS. NORMA AGUILAR-DAVE LCSW

MEDICARE: MRS. NORMA AGUILAR-DAVE 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
1101YA0400XAddiction (Substance Use Disorder) Counselor5753CO
21041C0700XClinical Social Worker992902CO

General Provider Information

NPI Number : 1053604322
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NORMA AGUILAR-DAVE LCSW
Provider Business Mailing Address
First Line : 325 KING ST
Second Line :
City : DENVER
State : CO
Zip : 80219-1326
Country : US
Telephone Number : 303-912-3821
Fax Number : 303-225-4101
Provider Business Practice Location Address
First Line : 325 KING ST
Second Line :
City : DENVER
State : CO
Zip : 80219-1326
Country : US
Telephone Number : 303-912-3821
Fax Number : 303-225-4101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2011
Last Update Date : 05/19/2011

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