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NPI Code Detail

MEDICARE: CAMRYN MICHOTTE

MEDICARE: CAMRYN MICHOTTE
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
11041C0700XClinical Social WorkerCO

General Provider Information

NPI Number : 1134931991
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMRYN MICHOTTE
Provider Business Mailing Address
First Line : 4455 E 12TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80220-2415
Country : US
Telephone Number : 303-504-7700
Fax Number :
Provider Business Practice Location Address
First Line : 4455 E 12TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80220-2415
Country : US
Telephone Number : 303-504-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2025
Last Update Date : 12/18/2025

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Directions to “ CAMRYN MICHOTTE ” Practice Location

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