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Individual

MS. LISA C BOLSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, MFT

Contact information

Practice address
630 DAHLIA ST, DENVER, CO 80220-5110
(303) 319-9056
Mailing address
630 DAHLIA ST, DENVER, CO 80220-5110
(303) 319-9056

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0013369
CO

Other

Enumeration date
12/12/2013
Last updated
12/12/2013
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