| Carly Sedgwick, Llc | |
|
2860 Kalmia Ave Apt 204 Boulder CO 80301-5912 | |
| (505) 304-5234 | |
| Not Available |
| Full Name | Carly Sedgwick, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2860 Kalmia Ave Apt 204, Boulder, Colorado |
| Authorized Official Name and Position | Carly Renee Sedgwick (OWNER) |
| Authorized Official Contact | 5053045234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Sedgwick, Llc 2860 Kalmia Ave Apt 204 Boulder CO 80301-5912 Ph: (505) 304-5234 | Carly Sedgwick, Llc 2860 Kalmia Ave Apt 204 Boulder CO 80301-5912 Ph: (505) 304-5234 |
| NPI Number | 1144722406 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 03/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144722406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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