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1497180129
MAIA LONGENECKER
THORNTON, CO
NPI
1497180129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW.0992330)
Enumeration Date
2013-09-12
Last Update Date
2016-06-15
Business Address
-- MAIA LONGENECKER LCSW
8931 HURON ST
THORNTON, CO 80260-6806
Phone number: 303-853-3500
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Mailing Address
-- MAIA LONGENECKER LCSW
8931 HURON ST
THORNTON, CO 80260-6806
Phone number: 303-853-3500
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