Individual
KYRSTIN CLARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
(586) 536-2769
Mailing address
3750 BLAKE ST APT 612, DENVER, CO 80205-5498
(586) 536-2769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000992578710
CO
Other
Enumeration date
12/19/2024
Last updated
01/17/2025
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