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NPI Code Detail

MEDICARE: JEANNE ELIZABETH MANN LSW

MEDICARE: JEANNE ELIZABETH MANN LSW
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 WorkerLSW.0009925817CO

General Provider Information

NPI Number : 1609683671
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNE ELIZABETH MANN LSW
Provider Business Mailing Address
First Line : PO BOX 1328
Second Line :
City : DURANGO
State : CO
Zip : 81302-1328
Country : US
Telephone Number : 970-335-2342
Fax Number : 970-335-2438
Provider Business Practice Location Address
First Line : 150 MERCURY VILLAGE DR
Second Line :
City : DURANGO
State : CO
Zip : 81301-8955
Country : US
Telephone Number : 970-335-2342
Fax Number : 970-335-2438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2024
Last Update Date : 02/09/2026

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Directions to “ JEANNE ELIZABETH MANN LSW” Practice Location

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