Individual
JESSICA SLOAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 BUCKNELL CT, BOULDER, CO 80305-3465
(303) 499-1121
Mailing address
963 11TH ST, BOULDER, CO 80302-7204
(303) 499-1121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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