Individual
JENNIFER L. BOULDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 BUCK CREEK ROAD, SUITE 200, AVON, CO 81620-4330
(970) 926-6340
(970) 926-6348
Mailing address
50 BUCK CREEK RD, SUITE 200, AVON, CO 81620
(970) 926-6340
(970) 926-6348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09926807
CO
1041C0700X
Clinical Social Worker
MC15031
ME
Other
Enumeration date
09/19/2014
Last updated
01/15/2021
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