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NPI Code Detail

MEDICARE: STEPHANIE SPJUTH LCSW

MEDICARE:   STEPHANIE  SPJUTH  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
11041C0700XClinical Social WorkerCSW.09925957CO

General Provider Information

NPI Number : 1700260262
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE SPJUTH LCSW
Provider Business Mailing Address
First Line : 723 DELAWARE ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 723 DELAWARE ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4504
Country : US
Telephone Number : 630-310-9030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2015
Last Update Date : 05/06/2019

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Directions to “ STEPHANIE SPJUTH LCSW” Practice Location

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