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Individual

MR. CAMERON EDWARD SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1441 BROADWAY ST, BOULDER, CO 80302-6214
(303) 440-4842
Mailing address
11990 E SOUTH BOULDER RD LOT 204, LAFAYETTE, CO 80026-2039
(303) 665-3929

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/19/2007
Last updated
07/08/2007
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