Individual
MIRANDA S GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW #0009925525
Contact information
Practice address
777 29TH ST STE 500, BOULDER, CO 80303-2357
(720) 551-8074
Mailing address
565 MOHAWK DR APT B6, BOULDER, CO 80303-3742
(858) 208-8377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009925525
CO
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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