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1942226105
WAYNE E. DETIENNE
DENVER, CO
NPI
1942226105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID lcsw-495)
Enumeration Date
2006-07-14
Last Update Date
2008-12-24
Business Address
-- WAYNE E. DETIENNE CSW
2185 BROADWAY
DENVER, CO 80205-2534
Phone number: 877-838-4783
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Mailing Address
-- WAYNE E. DETIENNE CSW
5310 WARD ROAD SUITE 106
ARVADA, CO 80002-1829
Phone number: 877-838-4783
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