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1174959506
RENAE MALLETT
COLORADO SPRINGS, CO
NPI
1174959506
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Former Name
RENAE THACKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO 0006395)
Enumeration Date
2013-09-17
Last Update Date
2024-03-25
Business Address
RENAE MALLETT MA, LPC
4390 N ACADEMY BLVD STE 201
COLORADO SPRINGS, CO 80918-6657
Phone number: 719-301-9496
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Mailing Address
RENAE MALLETT MA, LPC
4390 N ACADEMY BLVD STE 201
COLORADO SPRINGS, CO 80918-6657
Phone number: 719-301-9496
Copy
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