Provider Demographics
NPI:1629256003
Name:COSGROVE, MARY CHRISTINE (CSW)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:CHRISTINE
Last Name:COSGROVE
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:SENIOR CARE OF COLORADO
Mailing Address - Street 2:2400 S. PEORIA ST., #100
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014
Mailing Address - Country:US
Mailing Address - Phone:303-306-4321
Mailing Address - Fax:303-369-3022
Practice Address - Street 1:SENIOR CARE OF COLORADO
Practice Address - Street 2:2400 S. PEORIA ST., #100
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014
Practice Address - Country:US
Practice Address - Phone:303-306-4321
Practice Address - Fax:303-369-3022
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW9920841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical