Organization
BRAIN BLOOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA SICA LCSW (OWNER)
(860) 895-3265
Entity
Organization
Contact information
Practice address
1121 ALBION ST APT 705, DENVER, CO 80220-2351
(860) 895-3265
Mailing address
1121 ALBION ST APT 705, DENVER, CO 80220-2351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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