Search › Colorado › 1041C0700X
Kristin Bothwell, LICSW
NPI 1417123191 · on the registry since 2008
Practice
- Address
- Next-559 Vincent St.
Space Base Delta 1
Peterson Space Force Base, CO 80914 - Phone
- (617) 413-6275
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- MA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado