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NPI Code Detail

MEDICARE: DANA DEMOULIN LCSW

MEDICARE: DANA DEMOULIN 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.00991426CO

General Provider Information

NPI Number : 1750754222
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA DEMOULIN LCSW
Provider Business Mailing Address
First Line : 6750 W 52ND AVE
Second Line :
City : ARVADA
State : CO
Zip : 80002-0177
Country : US
Telephone Number : 303-329-0870
Fax Number : 303-328-2304
Provider Business Practice Location Address
First Line : 6750 W 52ND AVE
Second Line :
City : ARVADA
State : CO
Zip : 80002-3928
Country : US
Telephone Number : 303-329-0870
Fax Number : 303-394-0871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2015
Last Update Date : 05/24/2021

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