Individual
LILY SEPHA BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 TERRY ST, LONGMONT, CO 80501-5930
(415) 569-3181
Mailing address
PO BOX 1186, NEDERLAND, CO 80466-1186
(415) 569-3181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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