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1659512135
SHAN MIXON
GRAND JUNCTION, CO
NPI
1659512135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPC-3483)
Enumeration Date
2009-03-13
Last Update Date
2009-03-13
Business Address
-- SHAN MIXON MA, LPC
2021 N 12TH ST
GRAND JUNCTION, CO 81501-2980
Phone number: 970-257-6214
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Mailing Address
-- SHAN MIXON MA, LPC
2021 N 12TH ST
GRAND JUNCTION, CO 81501-2980
Phone number: 970-257-6214
Copy
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