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Individual

BRANDI LENAE IRBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
834 S SHERMAN ST, LONGMONT, CO 80501-6323
(303) 443-8500
Mailing address
4815 WHITE ROCK CIR APT C, BOULDER, CO 80301-6714
(760) 793-3546

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/25/2017
Last updated
08/25/2017
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