Provider Demographics
NPI:1982848800
Name:STERNER, MARY KRISTINE (LSW)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:KRISTINE
Last Name:STERNER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13720 BASALT CT
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-6071
Mailing Address - Country:US
Mailing Address - Phone:720-346-8907
Mailing Address - Fax:
Practice Address - Street 1:13720 BASALT CT
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-6071
Practice Address - Country:US
Practice Address - Phone:720-346-8907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO97104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker