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1275244261
SHELBY DALLAS HETHERINGTON
LAKEWOOD, CO
NPI
1275244261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO SWC.0000000846)
Enumeration Date
2022-12-09
Last Update Date
2022-12-09
Business Address
SHELBY DALLAS HETHERINGTON CSWC, MSW
1460 PIERCE ST
LAKEWOOD, CO 80214-1941
Phone number: 908-947-8282
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Mailing Address
SHELBY DALLAS HETHERINGTON CSWC, MSW
1460 PIERCE ST
LAKEWOOD, CO 80214-1941
Phone number:
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