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1356795785
ROBIN JACKELOW
LONGMONT, CO
NPI
1356795785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPC.0012298)
Enumeration Date
2016-04-22
Last Update Date
2016-04-22
Business Address
-- ROBIN JACKELOW
3800 PIKE RD APT 4302
LONGMONT, CO 80503-6907
Phone number: 516-729-5331
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Mailing Address
-- ROBIN JACKELOW
3800 PIKE RD APT 4302
LONGMONT, CO 80503-6907
Phone number: 516-729-5331
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