Provider Information for 1699088492
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STEPHEN PAUL WILLMER LCSW
Sex: Male
NPI: 1699088492
Last Updated: 2010-07-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1699088492 | ||||||||||||
| Enumeration Date | 2010-07-21 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 303 BERTHOUD WAY GOLDEN, CO 80401-4815 United States Phone: 303-942-0726 | Fax: | ||||||||||||
| Primary Practice Address | 720 KIPLING ST STE 200 LAKEWOOD, CO 80215-5866 United States Phone: 303-942-0726 | Fax: | ||||||||||||
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