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NPI Code Detail

MEDICARE: STEPHANIE ONAN

MEDICARE: STEPHANIE ONAN
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 WorkerCSW.00992811CO

General Provider Information

NPI Number : 1184442535
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ONAN
Provider Business Mailing Address
First Line : 4390 E PERRY PKWY
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80121-2197
Country : US
Telephone Number : 303-919-7264
Fax Number :
Provider Business Practice Location Address
First Line : 9894 ROSEMONT AVE STE 202
Second Line :
City : LONE TREE
State : CO
Zip : 80124-4103
Country : US
Telephone Number : 303-241-0421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2024
Last Update Date : 10/02/2024

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Directions to “ STEPHANIE ONAN ” Practice Location

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