Individual
JENNIFER LEOSZ MARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 413-6217
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991881
CO
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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