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NPI Code Detail

MEDICARE: ELIZABETH MAPLE MA LPC

MEDICARE: ELIZABETH MAPLE MA LPC
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 9923830CO

General Provider Information

NPI Number : 1376933259
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MAPLE MA LPC
Provider Business Mailing Address
First Line : 5431 VERBENA WAY
Second Line :
City : DENVER
State : CO
Zip : 80238-3849
Country : US
Telephone Number : 970-471-1110
Fax Number : 303-789-9192
Provider Business Practice Location Address
First Line : 1295 YORK ST
Second Line :
City : DENVER
State : CO
Zip : 80206-3008
Country : US
Telephone Number : 303-320-3790
Fax Number : 303-320-4290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2015
Last Update Date : 08/12/2022

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Directions to “ ELIZABETH MAPLE MA LPC” Practice Location

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