Individual
CAROLINA BRACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
(720) 213-8717
Mailing address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009923901
CO
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2020
Last updated
07/02/2024
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