Provider Demographics
NPI:1073663563
Name:THOME, KRISTEN DUBOC (MSW)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:DUBOC
Last Name:THOME
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:DUBOC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8105 W FLOYD AVE
Mailing Address - Street 2:APARTMENT 12-208
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-4750
Mailing Address - Country:US
Mailing Address - Phone:720-221-4287
Mailing Address - Fax:
Practice Address - Street 1:4851 INDEPENDENCE ST
Practice Address - Street 2:SUITE 189
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6715
Practice Address - Country:US
Practice Address - Phone:303-432-5139
Practice Address - Fax:303-463-1875
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical