Dena Southerlan, LCSW

NPI #1588020788 in Eagle, Colorado

Provider Information

NPI Number: 1588020788
Entity Type: Individual
Name: Dena Southerlan, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 5, 2016
Last Updated: Jan 5, 2016

Practice Location

Address: 1143 CAPITOL STREET UNIT 206C
City: Eagle
State: Colorado
ZIP Code: 81631
Phone: (970) 445-2700

Specialties & Taxonomy Codes

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

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