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1760538128
STACEY RENEE DEPOILLY
COLORADO SPRINGS, CO
NPI
1760538128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO not licensed)
Enumeration Date
2007-01-26
Last Update Date
2007-07-09
Business Address
-- STACEY RENEE DEPOILLY M.A.
2812 E BIJOU ST
COLORADO SPRINGS, CO 80909-6371
Phone number: 719-520-5656
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Mailing Address
-- STACEY RENEE DEPOILLY M.A.
3980 BUNK HOUSE DR
COLORADO SPRINGS, CO 80917-2231
Phone number: 719-638-4588
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