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1154988756
LISA M WHITLOCK
COLORADO SPRINGS, CO
NPI
1154988756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW.09925664)
Enumeration Date
2019-05-20
Last Update Date
2022-12-07
Business Address
LISA M WHITLOCK LCSW
1795 JET WING DR
COLORADO SPRINGS, CO 80916-2332
Phone number: 719-661-6629
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Mailing Address
LISA M WHITLOCK LCSW
1795 JET WING DR
COLORADO SPRINGS, CO 80916-2332
Phone number: 719-661-6629
Copy
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