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Individual

BROOKE TUTTLE JOSTAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
2550 STOVER ST BLDG C, FORT COLLINS, CO 80525-4641
(970) 942-3031
(307) 426-4799
Mailing address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4797
(307) 426-4799

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09925268
CO
1041C0700X
Clinical Social Worker
LCSW-1359
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000175168
CO
Enumeration date
08/20/2015
Last updated
08/01/2023
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