Most Relevant Information
Provider Data
| NPI Number: | 1003689241 |
| Provider Name: | SAMARIA DENEICE YVETTE STOVALL |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/31/2023 |
| Last Updated: | 10/31/2023 |
Provider Practice Location
1820 S JOLIET ST
AURORA
CO
800125030
Practice Location Phone/Fax
| Phone: | 7207473300 |
| Fax: |
Provider Mailing Location
1379 S ULSTER ST
DENVER
CO
802312743
Provider Mailing Phone/Fax
| Phone: | 3038980200 |
| Fax: |