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1487069142
ALICE HENRIQUES
BOULDER, CO
NPI
1487069142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-06-20
Last Update Date
2014-07-16
Business Address
-- ALICE HENRIQUES
3450 BROADWAY ST
BOULDER, CO 80304-1824
Phone number: 303-441-1281
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Mailing Address
-- ALICE HENRIQUES
3450 BROADWAY ST
BOULDER, CO 80304
Phone number: 303-441-1100
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