MEDICARE: CHRISTINA ABOOD

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
1	1041C0700X	Clinical Social Worker	CSW.09927486	CO

General Provider Information

NPI Number	:	1083344493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA ABOOD

Provider Business Mailing Address
First Line	:	3401 QUEBEC ST STE 4500
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-2310
Country	:	US
Telephone Number	:	720-676-1101
Fax Number	:

Provider Business Practice Location Address
First Line	:	2406 W 32ND AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-3373
Country	:	US
Telephone Number	:	720-676-1101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2022
Last Update Date	:	06/16/2022

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Directions to “ CHRISTINA ABOOD ” Practice Location

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