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1568168375
LACY SCHROCK
BOULDER, CO
NPI
1568168375
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Former Name
LACY SIMON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW.09928609)
Enumeration Date
2023-02-02
Last Update Date
2023-02-02
Business Address
LACY SCHROCK
4280 GREENBRIAR BLVD
BOULDER, CO 80305-7073
Phone number: 303-808-9122
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Mailing Address
LACY SCHROCK
PO BOX 3326
BOULDER, CO 80307-3326
Phone number: 970-363-4835
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