| Stephanie Small Inc Dba Las Lobas Del Corazon | |
|
1650 38th St Ste 100e Boulder CO 80301-2624 | |
| (720) 666-1159 | |
| Not Available |
| Full Name | Stephanie Small Inc Dba Las Lobas Del Corazon |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1650 38th St Ste 100e, Boulder, Colorado |
| Authorized Official Name and Position | Stephanie Small (OWNER) |
| Authorized Official Contact | 7206661159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Small Inc Dba Las Lobas Del Corazon 942 Granite Ct Longmont CO 80504-3917 Ph: (720) 666-1159 | Stephanie Small Inc Dba Las Lobas Del Corazon 1650 38th St Ste 100e Boulder CO 80301-2624 Ph: (720) 666-1159 |
| NPI Number | 1649876301 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649876301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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