Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003583295 |
---|---|
Provider Name | Nora Claire Wood Kunzmann |
First Address | Denver, CO 80239-5545 |
Second Address | Wheat Ridge, CO 80033-6711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2021 |
Last Update Date | 25/08/2021 |