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1821662396
ILYSE BLOOM
BOULDER, CO
NPI
1821662396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CO 1739)
Enumeration Date
2021-05-18
Last Update Date
2021-05-18
Business Address
ILYSE BLOOM LMFT
3100 ARAPAHOE AVE STE 101
BOULDER, CO 80303-1050
Phone number: 130-393-1849
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Mailing Address
ILYSE BLOOM LMFT
3100 ARAPAHOE AVE STE 101
BOULDER, CO 80303-1050
Phone number: 130-393-1849
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