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1548966831
MALLORY LYNN NICKLAS
CASTLE ROCK, CO
NPI
1548966831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 0009923410)
Enumeration Date
2023-02-07
Last Update Date
2023-02-07
Business Address
MALLORY LYNN NICKLAS LSW
1705 OUTTER MARKER RD
CASTLE ROCK, CO 80108-9332
Phone number: 303-249-8888
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Mailing Address
MALLORY LYNN NICKLAS LSW
1585 S JASMINE ST
DENVER, CO 80224-1928
Phone number: 303-249-8888
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