Individual
MRS. JULIE ANN BROTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009923795
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528344124
UNITED STATES DEPARTMENT OF VETERAN AFFAIRS
—
Enumeration date
12/03/2021
Last updated
12/03/2021
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