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Individual

MICHAL FIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1033 KALMIA AVE, BOULDER, CO 80304-1743
(415) 508-7042
Mailing address
7497A N FOOTHILLS HWY, BOULDER, CO 80302-9359

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
24766
CA
103TC0700X
Clinical Psychologist
Primary
3735
CO

Other

Enumeration date
03/03/2013
Last updated
03/03/2013
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