| Connected Roots Llc | |
|
1650 38th St Ste 100e Boulder CO 80301-2624 | |
| (720) 593-1383 | |
| Not Available |
| Full Name | Connected Roots Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1650 38th St Ste 100e, Boulder, Colorado |
| Authorized Official Name and Position | Lauren Andre (CO-OWNER) |
| Authorized Official Contact | 7205931383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connected Roots Llc 1650 38th St Ste 100e Boulder CO 80301-2624 Ph: (720) 593-1383 | Connected Roots Llc 1650 38th St Ste 100e Boulder CO 80301-2624 Ph: (720) 593-1383 |
| NPI Number | 1124508734 |
|---|---|
| Provider Enumeration Date | 08/14/2018 |
| Last Update Date | 08/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124508734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW.09925299 (Colorado) | Primary |
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