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Individual

DR. KIMBERLY BUNDY-FAZIOLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
101 MAIN STREET, FRISCO, CO 80443-9261
(970) 302-1796
Mailing address
PO BOX 3699, BRECKENRIDGE, CO 80424-3699

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00000295
CO

Other

Enumeration date
01/07/2020
Last updated
01/07/2020
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