Individual
KELLY L BONDURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3210 LUTHERAN PKWY, WHEAT RIDGE, CO 80033-6019
(303) 425-8000
Mailing address
3210 LUTHERAN PKWY, WHEAT RIDGE, CO 80033-6019
(303) 425-8000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW 318
CO
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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