Provider Demographics
NPI:1295730463
Name:WUENSCH, DENISE EILEEN (LCSW)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:EILEEN
Last Name:WUENSCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:190 E 9TH AVE
Mailing Address - Street 2:STE 490
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2741
Mailing Address - Country:US
Mailing Address - Phone:303-839-8675
Mailing Address - Fax:303-757-7370
Practice Address - Street 1:190 E 9TH AVE
Practice Address - Street 2:STE 490
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2741
Practice Address - Country:US
Practice Address - Phone:303-839-8675
Practice Address - Fax:303-757-7370
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9870291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical