| Diane Jo Dettloff, | |
|
35815 Road P.5, Mancos, CO 81328-8798 | |
| (970) 570-9673 | |
| Not Available |
| Full Name | Diane Jo Dettloff |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 35815 Road P.5, Mancos, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245947670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW.09925569 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Jo Dettloff, 35815 Road P.5, Mancos, CO 81328-8798 Ph: (970) 570-9673 | Diane Jo Dettloff, 35815 Road P.5, Mancos, CO 81328-8798 Ph: (970) 570-9673 |
Christie S. Williams, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 43290 Road J.9 Loop, Mancos, CO 81328 Phone: 970-799-3050 | |
Daniel Robert Hancock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10712 Road 35.6, Mancos, CO 81328 Phone: 303-204-6039 |