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1316936578
ELISE S FAIR
GREELEY, CO
NPI
1316936578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO 3797)
Enumeration Date
2005-10-19
Last Update Date
2013-04-05
Business Address
-- ELISE S FAIR MA, LPC
2624 18TH AVE
GREELEY, CO 80631-4024
Phone number: 970-674-3155
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Mailing Address
-- ELISE S FAIR MA, LPC
2624 18TH AVE
GREELEY, CO 80631-8111
Phone number: 970-352-6120
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