Individual
CHARLOTTE ELIZABETH IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 PASEO DEL PRADO APT 9, BOULDER, CO 80301-1547
(914) 391-2896
Mailing address
3850 PASEO DEL PRADO APT 9, BOULDER, CO 80301-1547
(914) 391-2896
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NLC.0109732
CO
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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