Individual
EMILIA BROADHURST EALOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4891 INDEPENDENCE ST STE 165, WHEAT RIDGE, CO 80033-6714
(303) 456-0600
(303) 456-0607
Mailing address
4891 INDEPENDENCE ST STE 165, WHEAT RIDGE, CO 80033-6714
(303) 456-0600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9923634
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09923634
CO
Other
Enumeration date
08/21/2014
Last updated
02/06/2026
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