Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003450610 |
---|---|
Provider Name | Lauren Nicole Guetling |
First Address | Lafayette, CO 80026-8879 |
Second Address | Lafayette, CO 80026-8879 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2019 |
Last Update Date | 06/11/2019 |