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NPI Code Detail

MEDICARE: DALTON D ROSS MSW, LCSW

MEDICARE: DALTON D ROSS MSW, 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.00000151CO

General Provider Information

NPI Number : 1821173352
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALTON D ROSS MSW, LCSW
Provider Business Mailing Address
First Line : 3401 QUEBEC ST STE 7600
Second Line :
City : DENVER
State : CO
Zip : 80207-2345
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 3401 QUEBEC ST STE 7600
Second Line :
City : DENVER
State : CO
Zip : 80207-2345
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 09/11/2024

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