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1245931872
STACY ALICE QUACKENBUSH
LAKEWOOD, CO
NPI
1245931872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-03-10
Last Update Date
2023-03-10
Business Address
Ms. STACY ALICE QUACKENBUSH
421 ZANG ST
LAKEWOOD, CO 80228-1052
Phone number: 303-996-3826
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Mailing Address
Ms. STACY ALICE QUACKENBUSH
421 ZANG ST
LAKEWOOD, CO 80228-1052
Phone number: 303-996-3826
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