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1427548221
TERESA LEE SLACK
GREELEY, CO
NPI
1427548221
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Former Name
TERESA LEE WIBBELSMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
Ms. TERESA LEE SLACK MA
928 12TH ST
GREELEY, CO 80631-4024
Phone number: 970-347-2120
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Mailing Address
Ms. TERESA LEE SLACK MA
1300 N 17TH AVE
GREELEY, CO 80631-9584
Phone number: 970-347-2120
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