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1447911201
STEPHANIE JANE BOULTON
LONGMONT, CO
NPI
1447911201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPC.0019540)
Enumeration Date
2022-01-04
Last Update Date
2024-03-01
Business Address
STEPHANIE JANE BOULTON MA, LPC
1509 FOSTER CT
LONGMONT, CO 80501-6713
Phone number: 801-872-8030
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Mailing Address
STEPHANIE JANE BOULTON MA, LPC
1509 FOSTER CT
LONGMONT, CO 80501-6713
Phone number: 801-872-8030
Copy
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