MEDICARE: COURTNEY DUNN

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1447934781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY DUNN

Provider Business Mailing Address
First Line	:	724 CANYON CREEK DR
Second Line	:
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-9721
Country	:	US
Telephone Number	:	970-309-2270
Fax Number	:

Provider Business Practice Location Address
First Line	:	3302 GRAND AVE
Second Line	:
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-4402
Country	:	US
Telephone Number	:	970-930-6355
Fax Number	:

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

Provider Enumeration Date	:	06/14/2023
Last Update Date	:	06/14/2023

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Directions to “ COURTNEY DUNN ” Practice Location

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