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1518274075
JUSTIN BLUE DENTRY
LAKEWOOD, CO
NPI
1518274075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO 5783)
Enumeration Date
2010-09-04
Last Update Date
2010-09-04
Business Address
Mr. JUSTIN BLUE DENTRY MS, LPC
7862 W MANSFIELD PKWY BUILDING
LAKEWOOD, CO 80235-1934
Phone number: 720-879-8910
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Mailing Address
Mr. JUSTIN BLUE DENTRY MS, LPC
7862 W MANSFIELD PKWY BUILDING
LAKEWOOD, CO 80235-1934
Phone number: 720-879-8910
Copy
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