Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 984070 | CO |
NPI | 1003026527 |
---|---|
Provider Name | Dr. Angie Ochsner |
First Address | Fraser, CO 80442-0880 |
Second Address | Fraser, CO 80442-0880 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |