Individual
MOLLY BREANNA BARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10190 BANNOCK ST STE 120, NORTHGLENN, CO 80260-6052
(928) 814-2929
Mailing address
7495 W 9TH AVE, LAKEWOOD, CO 80214-4521
(928) 814-2929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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