Individual
CAROL VIDAURRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3500
Mailing address
1870 W 122ND AVE, WESTMINSTER, CO 80234-2024
(303) 853-3500
(303) 853-3702
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
CSW.09926661
CO
Other
Enumeration date
02/08/2018
Last updated
06/16/2020
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