Individual
DORTE STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 IRIS AVENUE, BOULDER, CO 80304
(303) 443-8500
Mailing address
1333 IRIS AVENUE, BOULDER, CO 80304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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