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1184313447
LEAH BIANCA JACKSON
COLORADO SPRINGS, CO
NPI
1184313447
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Former Name
LEAH BIANCE MICKEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW.09929146)
Enumeration Date
2023-05-03
Last Update Date
2023-05-03
Business Address
Mrs. LEAH BIANCA JACKSON
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909-5533
Phone number: 720-848-9111
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Mailing Address
Mrs. LEAH BIANCA JACKSON
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone number:
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