Jessica Renee Kudlock
Clinical Social Worker
777 Bannock St
Denver
, Colorado 80204-4507
Jessica Renee Kudlock
Clinical Social Worker
777 Bannock St
Denver
, Colorado 80204-4507
(303) 436-7381
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Jessica Renee Kudlock
- 777 Bannock St
- Denver, CO
- Zip : 80204-4507
- Fax : (303) 436-7381
- Phone : (303) 602-7220
Second Address
- Jessica Renee Kudlock
- 777 Bannock St
- Denver, CO
- Zip : 80204-4507
- Fax : (303) 436-7381
- Phone : (303) 602-7220
Reviews
FAQs
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Is Jessica Renee Kudlock a sole practitioner?
Is Jessica Renee Kudlock accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 09923361 | CO |
National Provider Identifier
| NPI | 1003212200 |
|---|---|
| Provider Name | Jessica Renee Kudlock |
| First Address | Denver, CO 80204-4507 |
| Second Address | Denver, CO 80204-4507 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2014 |
| Last Update Date | 15/11/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.