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1114499811
ALYCIA ANN STACK
EVANS, CO
NPI
1114499811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW.09930278)
Enumeration Date
2018-12-19
Last Update Date
2024-03-22
Business Address
Ms. ALYCIA ANN STACK LCSW
2441 SHOOTING STAR WAY
EVANS, CO 80620-9243
Phone number: 970-689-6388
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Mailing Address
Ms. ALYCIA ANN STACK LCSW
2441 SHOOTING STAR WAY
EVANS, CO 80620-9243
Phone number: 970-689-6388
Copy
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