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1588229785
LANCE R STEWART
PUEBLO, CO
NPI
1588229785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW.09924509)
Enumeration Date
2019-05-03
Last Update Date
2019-05-03
Business Address
LANCE R STEWART
1515 FORTINO BLVD
PUEBLO, CO 81008-1664
Phone number: 719-583-4058
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Mailing Address
LANCE R STEWART
1249 W CAIDA DEL SOL DR
PUEBLO WEST, CO 81007-2008
Phone number: 719-568-3531
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