Individual
CARRIE WILSON BARTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 E MONUMENT ST STE 102, COLORADO SPRINGS, CO 80903-1061
(719) 636-2400
Mailing address
PO BOX 131, PALMER LAKE, CO 80133-0131
(719) 636-2400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
876011
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
876011
STATE LICENSE
CO
Enumeration date
08/08/2006
Last updated
03/05/2019
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