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1104336452
ELLIE NICOLE SHEPARD
DENVER, CO
NPI
1104336452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-10-01
Last Update Date
2017-10-01
Business Address
ELLIE NICOLE SHEPARD
2450 S VINE ST
DENVER, CO 80210-5264
Phone number: 303-871-3626
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Mailing Address
ELLIE NICOLE SHEPARD
2450 S VINE ST
DENVER, CO 80210-5264
Phone number: 303-871-3626
Copy
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