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Individual

ANGELA ELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 BALSAM AVE, BOULDER, CO 80304-3404
(303) 415-4293
Mailing address
3880 COLORADO AVE APT K, BOULDER, CO 80303-2108

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/19/2017
Last updated
05/19/2017
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