Individual
JILLIAN MARIE WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1333 IRIS AVE, MENTAL HEALTH CENTER OF BOULDER CTY INC, BOULDER, CO 80304-2296
(443) 614-3519
Mailing address
1000 MAXWELL AVE APT #19, BOULDER, CO 80304-4169
(443) 614-3519
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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