| Inner Wolf Wisdom Llc | |
|
4636 Ipswich St Boulder CO 80301-4219 | |
| (303) 667-6647 | |
| Not Available |
| Full Name | Inner Wolf Wisdom Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4636 Ipswich St, Boulder, Colorado |
| Authorized Official Name and Position | Molly Klekamp (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3036676647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Wolf Wisdom Llc 4636 Ipswich St Boulder CO 80301-4219 Ph: (303) 667-6647 | Inner Wolf Wisdom Llc 4636 Ipswich St Boulder CO 80301-4219 Ph: (303) 667-6647 |
| NPI Number | 1831788843 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831788843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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