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1174158703
LISA M POKORNY
FORT CARSON, CO
NPI
1174158703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CO 09927622)
Enumeration Date
2020-03-04
Last Update Date
2021-08-30
Business Address
LISA M POKORNY
6541 SPECKER AVE
FORT CARSON, CO 80913-4263
Phone number: 719-503-7872
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Mailing Address
LISA M POKORNY
10384 SHARON SPRINGS DR
COLORADO SPRINGS, CO 80924-1285
Phone number:
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