Individual
MARNESSA J BAMBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4770 BASELINE RD STE 200, BOULDER, CO 80303-2668
(720) 893-0842
(617) 507-1426
Mailing address
4770 BASELINE RD STE 200, BOULDER, CO 80303-2668
(720) 893-0842
(617) 507-1426
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
087302
NY
104100000X
Social Worker
Primary
09926336
CO
Other
Enumeration date
03/19/2015
Last updated
04/13/2020
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