| NPI | 1730774902 |
|---|---|
| Doing Business As | LISA SMITH, LCSW |
| Entity Type | Organization |
| Authorized Contact | JESSICA A KOEPF Delegated Official 303-444-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-09 |