Individual
CLARISSA MONET DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Mailing address
640 N PERRY AVE, 2, TUCSON, AZ 85705-8236
(520) 461-3478
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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