Individual
KRISTIN DIANNE KIRKBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3434 47TH ST, SUITE 110, BOULDER, CO 80301-1880
(303) 564-7764
Mailing address
3434 47TH ST, SUITE 110, BOULDER, CO 80301-1880
(303) 564-7764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW 449
CO
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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