Individual
KELLY BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1700 WHEELING ST BLDG P1-151, AURORA, CO 80045-7211
(720) 857-2746
Mailing address
4862 E 19TH AVE, DENVER, CO 80220-1226
(517) 285-8474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09924289
CO
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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