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1043857527
MARISSA STEEN WALLACE
WHEAT RIDGE, CO
NPI
1043857527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: CO LSW.0009921712)
Enumeration Date
2019-12-04
Last Update Date
2019-12-04
Business Address
Ms. MARISSA STEEN WALLACE LSW
4251 KIPLING ST UNIT 560
WHEAT RIDGE, CO 80033-6800
Phone number: 720-490-7911
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Mailing Address
Ms. MARISSA STEEN WALLACE LSW
1750 30TH ST # 435
BOULDER, CO 80301-1029
Phone number: 817-734-6961
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