Individual
KELLI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6260 E COLFAX AVE, DENVER, CO 80220-1515
(303) 837-1501
Mailing address
3429 S URAVAN WAY APT 302, AURORA, CO 80013-4494
(765) 618-3780
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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