Individual
MS. JACKIE MELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5350 MANHATTAN CIR STE 237, BOULDER, CO 80303-4272
(310) 963-2541
Mailing address
5350 MANHATTAN CIR STE 237, BOULDER, CO 80303-4272
(310) 963-2541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19132
CA
Other
Enumeration date
10/16/2006
Last updated
10/22/2019
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