Individual
CAROLINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
777 29TH ST, BOULDER, CO 80303-2358
(970) 310-3406
Mailing address
625 WALDEN CIR APT 103, BOULDER, CO 80305-7606
(732) 325-5802
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009923419
CO
1041C0700X
Clinical Social Worker
Primary
09929212
CO
Other
Enumeration date
05/24/2022
Last updated
04/24/2023
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