Most Relevant Information
Provider Data
| NPI Number: | 1003243585 |
| Provider Name: | MAIA RUSSEK MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2013 |
| Last Updated: | 09/30/2013 |
Provider Practice Location
2111 CHAMPA ST
DENVER
CO
802052529
Practice Location Phone/Fax
| Phone: | 3032974008 |
| Fax: | 3037646271 |
Provider Mailing Location
2111 CHAMPA ST
DENVER
CO
802052529
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |