Organization
INNER PATH THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA SANTOS BRACCO (THERAPIST)
(720) 213-8717
Entity
Organization
Contact information
Practice address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
(720) 213-8717
Mailing address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841806502
—
CO
Enumeration date
07/01/2024
Last updated
07/01/2024
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