Individual
MRS. MOLLY ANNE THELOSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 668-3413
Mailing address
2045 JOSLYN PL, BOULDER, CO 80304-1948
(303) 668-3413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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