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1306067467
CARISSA ROSE WALLER
LAKEWOOD, CO
NPI
1306067467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- CARISSA ROSE WALLER BA
9808 W CEDAR AVE
LAKEWOOD, CO 80226
Phone number: 303-432-5400
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Mailing Address
-- CARISSA ROSE WALLER BA
4851 INDEPENDENCE STREET SUITE 200
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
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