Individual
SUE BOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3566
CO
Other
Enumeration date
02/02/2007
Last updated
11/17/2014
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