Individual
JOAN M UNRUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
737 29TH ST, SUITE 200, BOULDER, CO 80303-2317
(303) 668-9024
Mailing address
1561 BAIN DR, ERIE, CO 80516-7220
(303) 828-2878
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2708
CO
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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