Kristin Bothwell, LICSW
NPI #1417123191 in Peterson Space Force Base, Colorado
Provider Information
- NPI Number
- 1417123191
- Entity Type
- Individual
- Name
- Kristin Bothwell, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- May 2, 2008
- Last Updated
- Sep 20, 2023
Practice Location
- Address
- NEXT-559 VINCENT ST.
- Address 2
- SPACE BASE DELTA 1
- State
- Colorado
- ZIP Code
- 80914-0000
- Phone
- (617) 413-6275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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