Individual
KIMBERLEY TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 247-8700
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 247-8700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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