MEDICARE: BRITON LEIGH SLOAN LCSW

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.00000990	CO

General Provider Information

NPI Number	:	1477119709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITON LEIGH SLOAN LCSW

Provider Business Mailing Address
First Line	:	9857 W 70TH PL
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80004-1627
Country	:	US
Telephone Number	:	720-338-9933
Fax Number	:

Provider Business Practice Location Address
First Line	:	190 E 9TH AVE STE 290
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-2744
Country	:	US
Telephone Number	:	720-338-9933
Fax Number	:

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

Provider Enumeration Date	:	05/13/2019
Last Update Date	:	06/11/2019

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