Organization
CONNECTED ROOTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ANDRE LCSW (CO-OWNER)
(720) 593-1383
Entity
Organization
Contact information
Practice address
1650 38TH ST STE 100E, BOULDER, CO 80301-2624
(720) 593-1383
Mailing address
1650 38TH ST STE 100E, BOULDER, CO 80301-2624
(720) 593-1383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09925299
CO
Other
Enumeration date
08/14/2018
Last updated
08/01/2019
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