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1114513322
WANDA IVELISSE SCHRADER
PARKER, CO
NPI
1114513322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-12
Last Update Date
2020-12-12
Business Address
Mrs. WANDA IVELISSE SCHRADER ICADC, CADAC II
18425 PONY EXPRESS DR UNIT 203
PARKER, CO 80134-9605
Phone number: 303-805-1218
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Mailing Address
Mrs. WANDA IVELISSE SCHRADER ICADC, CADAC II
18425 PONY EXPRESS DR UNIT 203
PARKER, CO 80134-9605
Phone number: 303-805-1218
Copy
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