Individual
LACY SCHROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4280 GREENBRIAR BLVD, BOULDER, CO 80305-7073
(303) 808-9122
Mailing address
PO BOX 3326, BOULDER, CO 80307-3326
(970) 363-4835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09928609
CO
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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