Individual
ABIGAIL SJOSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 044-3850
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.0900329
OH
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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