Provider Information for 1710113394
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Ms. KELLEY ANNE BROWN MA, LPC, LAC
Sex: Female
NPI: 1710113394
Last Updated: 2017-02-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1710113394 | ||||||||||||
| Enumeration Date | 2009-06-09 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 11827 RIDGE PKWY #717 BROOMFIELD, CO 80021-5080 United States Phone: 508-240-4705 | Fax: | ||||||||||||
| Primary Practice Address | 100 ARAPAHOE AVE SUITE 7 BOULDER, CO 80302-5854 United States Phone: 508-240-4705 | Fax: | ||||||||||||
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