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1982249678
STEPHANIE ADDISS
BOULDER, CO
NPI
1982249678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPC.0012081)
Enumeration Date
2019-11-17
Last Update Date
2019-11-17
Business Address
STEPHANIE ADDISS
2429 BROADWAY ST
BOULDER, CO 80304-4108
Phone number: 949-241-2220
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Mailing Address
STEPHANIE ADDISS
2429 BROADWAY ST
BOULDER, CO 80304-4108
Phone number:
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