Individual
MRS. KIMBERLY ELLEN BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3980 BROADWAY ST STE 103, BOULDER, CO 80304-1161
(303) 809-9790
Mailing address
875 PRIMOS RD, BOULDER, CO 80302-9213
(303) 809-9790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1972
CO
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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