Most Relevant Information
Provider Data
| NPI Number: | 1003211830 |
| Provider Name: | MARISSA JOSUB LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CSW.09930199 |
Most Important Dates
| Enumeration Date: | 10/22/2014 |
| Last Updated: | 03/14/2024 |
Provider Practice Location
230 CHAPEL SQ UNIT D-102
AVON
CO
816206497
Practice Location Phone/Fax
| Phone: | 9709452840 |
| Fax: | 9709452893 |
Provider Mailing Location
PO BOX 339
GLENWOOD SPRINGS
CO
816020339
Provider Mailing Phone/Fax
| Phone: | 9709452840 |
| Fax: |