Jlw Manifestations, LLC

NPI #1063056521 in Aurora, Colorado

Provider Information

NPI Number: 1063056521
Entity Type: Organization
Organization Name: Jlw Manifestations, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 29, 2019
Last Updated: Oct 29, 2019

Practice Location

Address: 390 S POTOMAC WAY STE C
City: Aurora
State: Colorado
ZIP Code: 80012-2491
Phone: (720) 463-4167

Authorized Official

Name: JALISA WILLIAMS, LCSW
Title: OWNER/THERAPIST
Phone: (720) 463-4167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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