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1104959121
JENNIFER HALECOULSON
CANON CITY, CO
NPI
1104959121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO 4379)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- JENNIFER HALECOULSON MA
3225 INDEPENDENCE RD
CANON CITY, CO 81212-9380
Phone number: 719-275-2351
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Mailing Address
-- JENNIFER HALECOULSON MA
3225 INDEPENDENCE RD
CANON CITY, CO 81212-9380
Phone number: 719-275-2351
Copy
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