Individual
MS. STEPHANIE ELIZABETH SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1650 38TH ST STE 100E, BOULDER, CO 80301-2624
(720) 666-1159
Mailing address
942 GRANITE CT, LONGMONT, CO 80504-3917
(720) 666-1159
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/01/2007
Last updated
01/16/2024
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