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1134535420
MICHELE RYAN
BOULDER, CO
NPI
1134535420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO aCB0007620)
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
-- MICHELE RYAN CACII, CPSII
3450 BROADWAY ST
BOULDER, CO 80304-1824
Phone number: 303-441-1100
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Mailing Address
-- MICHELE RYAN CACII, CPSII
3450 BROADWAY ST
BOULDER, CO 80304-1824
Phone number: 303-441-1100
Copy
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