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1891414835
LUCAS BRYANT WALLJASPER
BOULDER, CO
NPI
1891414835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CO LPCC.0020596)
Enumeration Date
2022-08-23
Last Update Date
2023-05-23
Business Address
MR. LUCAS BRYANT WALLJASPER
3320 13TH ST
BOULDER, CO 80304-2206
Phone number: 414-559-6930
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Mailing Address
MR. LUCAS BRYANT WALLJASPER
3320 13TH ST
BOULDER, CO 80304-2206
Phone number: 414-559-6930
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