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NPI Code Detail

MEDICARE: SASHA MICHELLE MARIN

MEDICARE: SASHA MICHELLE MARIN
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
1104100000XSocial WorkerSWC.0000001522CO

General Provider Information

NPI Number : 1588438063
Entity Type Code : Individual
Provider Name (Legal Business Name) : SASHA MICHELLE MARIN
Provider Business Mailing Address
First Line : 16579 MARION ST
Second Line :
City : THORNTON
State : CO
Zip : 80602-7665
Country : US
Telephone Number : 720-677-1314
Fax Number :
Provider Business Practice Location Address
First Line : 1325 S COLORADO BLVD STE B705
Second Line :
City : DENVER
State : CO
Zip : 80222-3383
Country : US
Telephone Number : 720-677-1314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2023
Last Update Date : 11/14/2023

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Directions to “ SASHA MICHELLE MARIN ” Practice Location

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