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1013269760
KELLI ELLEN LACKETT
FORT COLLINS, CO
NPI
1013269760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2012-10-04
Last Update Date
2012-10-04
Business Address
-- KELLI ELLEN LACKETT MS
1148 E ELIZABETH ST
FORT COLLINS, CO 80524-4068
Phone number: 970-472-4133
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Mailing Address
-- KELLI ELLEN LACKETT MS
1148 E ELIZABETH ST
FORT COLLINS, CO 80524-4068
Phone number: 970-472-4133
Copy
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