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Individual
GEORGIA C LUNDGREN
Active
Individual
GEORGIA C LUNDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
JD, MFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
13862
CO
Other
Enumeration date
11/05/2013
Last updated
11/18/2016
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