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1720469166
SHADOE UNDERWOOD
LA JUNTA, CO
NPI
1720469166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: CO LPC.0017630)
Enumeration Date
2015-06-11
Last Update Date
2022-11-15
Business Address
SHADOE UNDERWOOD M.S., L.P.C., N.C.C
711 BARNES AVE
LA JUNTA, CO 81050-2138
Phone number: 719-384-5446
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Mailing Address
SHADOE UNDERWOOD M.S., L.P.C., N.C.C
711 BARNES AVE
LA JUNTA, CO 81050-2138
Phone number: 719-384-5446
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