Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | LCSW.00992977 | CO |
NPI | 1003088899 |
---|---|
Provider Name | Mr. John Carlton Crowe |
First Address | Denver, CO 80205-2529 |
Second Address | Denver, CO 80211-2440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2008 |
Last Update Date | 08/04/2019 |