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Individual

CHARLIE WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., LSP

Contact information

Practice address
350 BROADWAY ST STE 205, BOULDER, CO 80305-3338
(720) 771-9106
Mailing address
3345 13TH ST, BOULDER, CO 80304-2205
(720) 771-9106

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
115057
CO

Other

Enumeration date
10/11/2023
Last updated
10/17/2023
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