Individual
DESIRAE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 413-6329
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201668
TX
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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