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1457654808
KRISTIN M WAGNER
BOULDER, CO
NPI
1457654808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPC.0012533)
Enumeration Date
2010-12-07
Last Update Date
2022-01-19
Business Address
KRISTIN M WAGNER M.A., L.P.C., N.C.C.
1650 38TH ST STE 100E
BOULDER, CO 80301-2624
Phone number: 720-257-9416
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Mailing Address
KRISTIN M WAGNER M.A., L.P.C., N.C.C.
11210 FLATIRON DR
LAFAYETTE, CO 80026-9618
Phone number: 303-882-2755
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