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1104338193
LORELEI BALDERSTON
CANON CITY, CO
NPI
1104338193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACB.0008224)
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
LORELEI BALDERSTON
3225 INDEPENDENCE RD
CANON CITY, CO 81212-9380
Phone number: 719-275-2351
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Mailing Address
LORELEI BALDERSTON
3225 INDEPENDENCE RD
CANON CITY, CO 81212-9380
Phone number: 719-275-2351
Copy
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