Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 258 | CO |
NPI | 1003252867 |
---|---|
Provider Name | Jennifer Lynn Key |
First Address | Denver, CO 80206-2961 |
Second Address | Denver, CO 80206-2962 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2013 |
Last Update Date | 20/05/2013 |