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1548598725
MARCIE LYNN MATA
FORT COLLINS, CO
NPI
1548598725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO 4971)
Enumeration Date
2009-11-25
Last Update Date
2009-11-25
Business Address
Ms. MARCIE LYNN MATA LPC
506 S COLLEGE AVE
FORT COLLINS, CO 80524-3002
Phone number: 970-308-4474
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Mailing Address
Ms. MARCIE LYNN MATA LPC
2212 WINTERSTONE COURT
FORT COLLINS, CO 80525
Phone number: 970-308-4474
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