| Kristin Bothwell, LICSW | |
|
Next-559 Vincent St., Space Base Delta 1, Peterson Space Force Base, CO 80914-0000 | |
| (617) 413-6275 | |
| Not Available |
| Full Name | Kristin Bothwell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | Next-559 Vincent St., Peterson Space Force Base, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417123191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 116933 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | 96216 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Bothwell, LICSW Nect-559 Vincent Street, Space Base Delta 1, Peterson Sfb, CO 80914 Ph: (617) 413-6275 | Kristin Bothwell, LICSW Next-559 Vincent St., Space Base Delta 1, Peterson Space Force Base, CO 80914-0000 Ph: (617) 413-6275 |
Lacey L Mills, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Space Base Delta 1, Peterson Space Force Base, CO 80914 Phone: 719-524-2273 | |
Mrs. Cynthia Ann Miller Wyatt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 W Ent Ave, Building 725, Peterson Space Force Base, CO 80916 Phone: 719-556-8943 |