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1154605780
JENNIFER A WALLACE
BOULDER, CO
NPI
1154605780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-30
Last Update Date
2018-07-12
Business Address
JENNIFER A WALLACE M.A., L.P.C.
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-443-8500
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Mailing Address
JENNIFER A WALLACE M.A., L.P.C.
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number:
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