Most Relevant Information
Provider Data
| NPI Number: | 1003213018 |
| Provider Name: | CLARISSA MONET DUBOSE |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/20/2014 |
| Last Updated: | 11/20/2014 |
Provider Practice Location
1333 IRIS AVE
BOULDER
CO
803042226
Practice Location Phone/Fax
| Phone: | 3034438500 |
| Fax: |
Provider Mailing Location
640 N PERRY AVE
2
TUCSON
AZ
857058236
Provider Mailing Phone/Fax
| Phone: | 5204613478 |
| Fax: |