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1003639568
AMANDA DECKELBAUM
LONGMONT, CO
NPI
1003639568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
AMANDA DECKELBAUM
720 100 YEARPARTY CT
LONGMONT, CO 80504-8512
Phone number: 720-449-6676
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Mailing Address
AMANDA DECKELBAUM
720 100 YEARPARTY CT
LONGMONT, CO 80504-8512
Phone number:
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