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1922413681
JENNA GROSHONG
BOULDER, CO
NPI
1922413681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACB0007421)
Enumeration Date
2014-06-20
Last Update Date
2017-07-31
Business Address
-- JENNA GROSHONG CAC II
3450 BROADWAY ST
BOULDER, CO 80304-1824
Phone number: 303-441-1100
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Mailing Address
-- JENNA GROSHONG CAC II
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-441-1281
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