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Contact Information

MARY L LUBCHENCO, MSW LCSW
219 E ST VRAIN STREET
COLORADO SPRINGS, CO80903
 Phone: 719-577-4775
 Fax: 719-577-9656
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARY L LUBCHENCO · (Female)

NPI Number 1104932987
Status Active
Credentials MSW LCSW
Entity Individual
Enumeration date 08/22/2006
Last updated 10/16/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 985029
  • CO Medicaid 07106750
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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