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1396707535
JACQUE PENFOLD
LOVELAND, CO
NPI
1396707535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 992895)
Enumeration Date
2006-04-04
Last Update Date
2007-07-08
Business Address
-- JACQUE PENFOLD LCSW
1501 N. CLEVELAND AVENUE
LOVELAND, CO 80538
Phone number: 970-690-8429
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Mailing Address
-- JACQUE PENFOLD LCSW
6021 PUMA DRIVE
LOVELAND, CO 80538
Phone number: 970-690-8429
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