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1598051757
RICHARD MICCIO
LAKEWOOD, CO
NPI
1598051757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-06-24
Last Update Date
2015-01-07
Business Address
-- RICHARD MICCIO
9808 W CEDAR AVE
LAKEWOOD, CO 80226-1023
Phone number: 303-425-0300
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Mailing Address
-- RICHARD MICCIO
4851 INDEPENDENCE ST SUITE 200
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
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