Individual
JETHA MAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2800 FOLSOM ST, BOULDER, CO 80304-3738
(303) 717-6488
Mailing address
3003 VALMONT RD LOT 243, BOULDER, CO 80301-2150
(303) 717-6488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1801
CO
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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