Johanna Katheryne Smith Bakken L.C.S.W.

NPI 1326295692 - Social Worker - 1041C0700X

NPI Details
NPI 1326295692
Gender Female
Enumeration Date 08/19/2008
Last Updated 05/13/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
4891 INDEPENDENCE ST
SUITE 165
WHEAT RIDGE CO, 80033-6752, US
Phone (303) 456-0600
Fax (303) 456-0607
Business Location
4891 INDEPENDENCE ST
SUITE 165
WHEAT RIDGE CO, 80033-6752, US
Phone (303) 456-0600
Fax (303) 456-0607
Toxanomy
Taxonomy Code 1041C0700X
License State Colorado
License Number 1564
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According to our database, Ms. Johanna Katheryne Smith Bakken L.C.S.W. NPI is 1326295692, taxonomy code is 1041C0700X and license number is 1564, license state is located at Colorado. Johanna Katheryne Smith Bakken L.C.S.W. physically located at 4891 Independence St, Wheat Ridge CO, 80033-6752. NPI Number Johanna Katheryne Smith Bakken L.C.S.W. has the Individual type.

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1326295692 NPI number is provided on an as is basis without warranty of any kind. 1326295692 is maintained by the National Plan & Provider Enumeration System. The contents of Johanna Katheryne Smith Bakken L.C.S.W. are for informational purposes only.