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1356687636
SHELLY FAIN CLUBB
EVERGREEN, CO
NPI
1356687636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CO 0011281)
Enumeration Date
2012-12-14
Last Update Date
2018-03-17
Business Address
SHELLY FAIN CLUBB LPC
4611 PLETTNER LN SUITE 104
EVERGREEN, CO 80439-7396
Phone number: 720-448-6925
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Mailing Address
SHELLY FAIN CLUBB LPC
2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109-8419
Phone number: 720-455-3750
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