Provider Information for 1720510530
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HELENE HOMER-ISHIKAWA LCSW
Sex: Female
NPI: 1720510530
Last Updated: 2017-03-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1720510530 | ||||||||
| Enumeration Date | 2017-03-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3939 W 46TH AVE DENVER, CO 80212-2646 United States Phone: 201-704-6926 | Fax: | ||||||||
| Primary Practice Address | 3939 W 46TH AVE DENVER, CO 80212-2646 United States Phone: 201-704-6926 | Fax: | ||||||||
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