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Organization

GROWING SELF, LLC

Active
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Organization

GROWING SELF, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA BOBBY PHD, LMFT (CLINICAL SUPERVISOR)
(720) 208-6806
Entity
Organization

Contact information

Practice address
100 FILLMORE ST, DENVER, CO 80206-4916
(720) 208-6806
Mailing address
100 FILLMORE ST, DENVER, CO 80206-4916

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0011953
CO

Other

Enumeration date
12/02/2014
Last updated
12/02/2014
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